Healthcare Provider Details
I. General information
NPI: 1184025132
Provider Name (Legal Business Name): SONIA MILAGRO CARABALLO-CARTAGENA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/09/2014
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1325 N MEACHAM RD
SCHAUMBURG IL
60173-4824
US
IV. Provider business mailing address
29373 NETWORK PL
CHICAGO IL
60673-4959
US
V. Phone/Fax
- Phone: 847-931-4626
- Fax: 847-931-4794
- Phone: 847-390-5900
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | 036-163243 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0008X |
| Taxonomy | Neuromuscular Medicine (Psychiatry & Neurology) Physician |
| License Number | 21166 |
| License Number State | PR |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | 01086421A |
| License Number State | IN |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0008X |
| Taxonomy | Neuromuscular Medicine (Psychiatry & Neurology) Physician |
| License Number | 01086421A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: