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DAVID ADAM MILANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
302 BROADWAY ST, MOUNT VERNON, IL 62864-5116
(618) 242-4570
Mailing address
PO BOX 127, MOUNT VERNON, IL 62864-0052
(618) 204-2897
(618) 242-7674

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.028049
IL
363LF0000X
Family Nurse Practitioner
Primary
209.028049
IL

Other

Enumeration date
08/14/2023
Last updated
04/09/2024
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