Provider Demographics
NPI:1801446851
Name:SYLVESTER, KARA (IBCLC)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:SYLVESTER
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 1:10274 W LAKE CAMELOT DR
Mailing Address - Street 2:
Mailing Address - City:MAPLETON
Mailing Address - State:IL
Mailing Address - Zip Code:61547-9522
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10274 W LAKE CAMELOT DR
Practice Address - Street 2:
Practice Address - City:MAPLETON
Practice Address - State:IL
Practice Address - Zip Code:61547-9522
Practice Address - Country:US
Practice Address - Phone:309-256-9046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL174N00000X
174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN