Healthcare Provider Details

I. General information

NPI: 1760695779
Provider Name (Legal Business Name): ALICIA MILAN-FLANIGAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 W NORTH AVE
CHICAGO IL
60610-1174
US

IV. Provider business mailing address

711 W NORTH AVE FL 1
CHICAGO IL
60610-1042
US

V. Phone/Fax

Practice location:
  • Phone: 312-337-1982
  • Fax:
Mailing address:
  • Phone: 312-337-1982
  • Fax: 312-642-3847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036.118907
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: