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NPI Code Detail

MEDICARE: MILANI M PHILIP FNP- BC

MEDICARE: MILANI M PHILIP FNP- BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner209017016IL

General Provider Information

NPI Number : 1285195784
Entity Type Code : Individual
Provider Name (Legal Business Name) : MILANI M PHILIP FNP- BC
Provider Business Mailing Address
First Line : 4051 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-3009
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4051 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-3009
Country : US
Telephone Number : 773-871-2611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2019
Last Update Date : 02/09/2022

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Directions to “ MILANI M PHILIP FNP- BC” Practice Location

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