Provider Demographics
NPI:1164146577
Name:OPEN ARMS LACTATION LLC
Entity Type:Organization
Organization Name:OPEN ARMS LACTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROMA
Authorized Official - Middle Name:VASUDEV
Authorized Official - Last Name:SEAT
Authorized Official - Suffix:
Authorized Official - Credentials:RD, RN, CLC, IBCLC
Authorized Official - Phone:773-505-7662
Mailing Address - Street 1:1569 GLENSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-5499
Mailing Address - Country:US
Mailing Address - Phone:773-505-7662
Mailing Address - Fax:
Practice Address - Street 1:24014 W RENWICK RD UNIT 105
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-8729
Practice Address - Country:US
Practice Address - Phone:773-505-7662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty