MEDICARE: MR. DREW MILLIKEN HIS

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
1	237700000X	Hearing Instrument Specialist	037-3029	IL

General Provider Information

NPI Number	:	1487183869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DREW MILLIKEN HIS

Provider Business Mailing Address
First Line	:	7800 N SOMMER ST STE 305
Second Line	:
City	:	PEORIA
State	:	IL
Zip	:	61615-1994
Country	:	US
Telephone Number	:	309-685-0887
Fax Number	:

Provider Business Practice Location Address
First Line	:	7800 N SOMMER ST STE 305
Second Line	:
City	:	PEORIA
State	:	IL
Zip	:	61615-1994
Country	:	US
Telephone Number	:	309-685-0887
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2017
Last Update Date	:	02/03/2026

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