Individual
KOURTNEY MILENKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3258 W 111TH ST, CHICAGO, IL 60655-2729
(773) 629-8217
Mailing address
8135 CALUMET AVE, MUNSTER, IN 46321-1701
(219) 513-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009825A
IN
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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