JAN CODERKO MARCOTT RN IBCLC RL
NPI 1558109249
Registered Nurse - Lactation Consultant in Effingham, IL
Active since July 17, 2024
About Jan Coderko Marcott Rn Ibclc Rl NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAN CODERKO MARCOTT RN IBCLC RL (NPI 1558109249) is an individual lactation consultant provider in Effingham, Illinois, licensed in Illinois (041-164820) and active in the NPI registry since July 2024.
NPPES Registry Identity
NPI1558109249
Entity TypeIndividualFemale
Primary Taxonomy163WL0100X
Provider Legal NameJAN CODERKO MARCOTTCredential: RN IBCLC RL
Location Address202 POPLAR ST.Effingham, IL 62401
Mailing Address202 Poplar St.Effingham, IL 62401 · (217) 246-3498
Phone(217) 246-3498
Sole ProprietorYes
Enumeration DateJuly 17, 2024
NPPES CertifiedJuly 8, 2024
✔ NPI 1558109249 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Lactation ConsultantNursing Service Providers
Taxonomy Code163WL0100X
License✔ Licensed in IL · 041-164820
202 POPLAR ST., Effingham, IL 62401
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558109249, enumerated as an "individual" on July 17, 2024.
The provider is located at 202 POPLAR ST. EFFINGHAM, IL 62401 and the phone number is (217) 246-3498.
Registered Nurse with taxonomy code 163WL0100X and a focus in Lactation Consultant.
