Individual
BECKY C. MILAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2239 E COOK ST, SPRINGFIELD, IL 62703-1944
(217) 788-2300
Mailing address
PO BOX 19665, SPRINGFIELD, IL 62794-9665
(217) 545-7500
(217) 545-7305
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209-008585
IL
363LP0222X
Critical Care Pediatric Nurse Practitioner
209-008585
IL
Other
Enumeration date
12/13/2010
Last updated
09/19/2018
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