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

Taylor Jean Petrunich, IBCLC

Individual provider Lactation Consultant (Non-RN) · NPI 1083314447

Taylor Jean Petrunich, IBCLC is a Lactation Consultant (Non-RN) in Edwardsville, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023

Practice location Address checks out

20 Edwardsville Prof Park Ste B
Edwardsville, IL 62025-3602
Phone: (618) 406-6372
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lactation Consultant (Non-RN) (primary) Taxonomy 174N00000X · Licence L-309688 (IL)

Record details

NPI number1083314447
Entity typeIndividual (Type 1)
GenderFemale
Credentials IBCLC
Sole proprietorNo
NPI enumeratedMarch 6, 2023
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026