Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clementine Pediatrics, LLC

Organization Lactation Consultant (Non-RN) · NPI 1134905482

Clementine Pediatrics, LLC is a Lactation Consultant (Non-RN) in Chicago, Illinois. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1757 N Kimball Ave Ste 205A
Chicago, IL 60647-4805
Phone: (816) 914-0359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X
Lactation Consultant (Non-RN) Taxonomy 174N00000X
Feeding, Eating & Swallowing Occupational Therapist Taxonomy 225XF0002X

Record details

NPI number1134905482
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sara Vivoda — Owner · (816) 914-0359
NPI enumeratedSeptember 4, 2023
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025
Mailing address1757 N Kimball Ave Ste 205a, Chicago, IL 60647-4805

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