Most Relevant Information
Provider Data
| NPI Number: | 1003328634 |
| Provider Name: | JACQUELYN ANN ORDNER RN, IBCLC |
| Entity Type: | Individual |
| Taxonomy Code: | 163WL0100X |
| Specialty: | Registered Nurse |
| License Number: | 041.377032 |
Most Important Dates
| Enumeration Date: | 11/05/2017 |
| Last Updated: | 11/05/2017 |
Provider Practice Location
175 COUNTY ROAD 400 E
SIGEL
IL
624622134
Practice Location Phone/Fax
| Phone: | 2178211040 |
| Fax: |
Provider Mailing Location
175 COUNTY ROAD 400 E
SIGEL
IL
624622134
Provider Mailing Phone/Fax
| Phone: | 2178211040 |
| Fax: |