Provider Demographics
NPI:1275033425
Name:KARASINSKI, LESLEY (IBCLC)
Entity Type:Individual
Prefix:
First Name:LESLEY
Middle Name:
Last Name:KARASINSKI
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26415 W CUBA RD
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-5952
Mailing Address - Country:US
Mailing Address - Phone:847-337-8758
Mailing Address - Fax:
Practice Address - Street 1:690 E TERRA COTTA AVE STE C
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-3605
Practice Address - Country:US
Practice Address - Phone:815-893-0411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-14
Last Update Date:2018-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174N00000X
ILL-127283174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN