Provider Demographics
NPI:1225248420
Name:RIO, SUE ANN (RN, IBCLC)
Entity Type:Individual
Prefix:MS
First Name:SUE
Middle Name:ANN
Last Name:RIO
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13306 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-6729
Mailing Address - Country:US
Mailing Address - Phone:815-609-7651
Mailing Address - Fax:
Practice Address - Street 1:13306 MEADOW LN
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-6729
Practice Address - Country:US
Practice Address - Phone:815-609-7651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant