Faith Mitchel Fairclough, RN BSN IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

041-221069 Issued in IL

Practice address

2019 Thornwood Ave
Wilmette, IL 60091-1450

Phone

(847) 867-3218

NPI assigned

Nov 13, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1851721781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 THORNWOOD AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911450",
            "telephone_number": "847-867-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 THORNWOOD AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911450",
            "telephone_number": "847-867-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRCLOUGH",
        "first_name": "FAITH",
        "middle_name": "MITCHEL",
        "name_prefix": "Mrs.",
        "credential": "RN BSN IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "IL",
            "license": "041-221069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Marie Espinoza, DNP PNP-PC
• Nina Esshaki, LPC
• Morgan Etheridge
• Kristoffer Evangelista, BA PSYCHOLOGY
• Alia Ezziddin, DMD
• Charles Michael Falcone
• Mitra Farahati, MD
• Carol Feiss, PSYD
• Adrienne M Felder, L.C.P.C.
• Joan Myra Ferdinand, L.C.P.C.

• Lactation Consultant (Registered Nurse) in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Lactation Consultant (Registered Nurse) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.