IndividualActive
Jacquelynn Douglas-Pettis
NPI 1336003524 · Lactation Consultant (Non-RN) · Chicago, IL
Provider details
- NPI number
- 1336003524
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- L-319753 (IL)
Specialties & taxonomies
Other Service Providers
Practice location
8205 S Winchester Ave
Chicago, IL 60620-5340
Phone: (708) 800-9620
Approximate (ZIP-level) locationGet directions
Mailing address
8205 S Winchester Ave
Chicago, IL 60620-5340
Registry dates
- Enumerated
- 2025-12-11
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.