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TAYLOR JEAN PETRUNICH IBCLC
NPI 1083314447
Lactation Consultant, Non-RN in Edwardsville, IL

Active since March 06, 2023
20 EDWARDSVILLE PROF PARK STE B, EDWARDSVILLE, IL 62025(618) 406-6372 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 1, 2026, Mar 6, 2023 (2 updates tracked since 2023).

About Taylor Jean Petrunich Ibclc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAYLOR JEAN PETRUNICH IBCLC (NPI 1083314447) is an individual lactation consultant, non-rn provider in Edwardsville, Illinois, licensed in Illinois (L-309688) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1083314447
Entity TypeIndividualFemale
Primary Taxonomy174N00000X
Provider Legal NameTAYLOR JEAN PETRUNICHCredential: IBCLC
Location Address20 EDWARDSVILLE PROF PARK STE BEdwardsville, IL 62025-3602
Mailing Address20 Edwardsville Prof Park Ste BEdwardsville, IL 62025-3602
Phone(618) 406-6372
Sole ProprietorNo
Enumeration DateMarch 6, 2023
Last NPPES UpdateMay 1, 20262 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
✔ NPI 1083314447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLactation Consultant, Non-RNOther Service Providers
Taxonomy Code174N00000X
License✔ Licensed in IL · L-309688
Definition
An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.
20 EDWARDSVILLE PROF PARK STE B, Edwardsville, IL 62025
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ALISA WILLIAMS RN IBCLC
Registered Nurse (Lactation Consultant)
20 EDWARDSVILLE PROF PARK STE B
EDWARDSVILLE, IL 62025
Madison County (618) 406-6372

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylor Petrunich's NPI number?

The NPI number for Taylor Petrunich is 1083314447. It was assigned to this individual provider in the NPPES registry on March 6, 2023.

Where is Taylor Petrunich located?

Taylor Petrunich practices at 20 Edwardsville Prof Park Ste B, Edwardsville, IL 62025. The listed phone number is (618) 406-6372.

What is Taylor Petrunich's specialty?

The primary specialty registered for this NPI is Lactation Consultant, Non-RN with taxonomy code 174N00000X.

When was this NPI record last updated?

The NPPES record for Taylor Petrunich was last updated on May 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.