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Organization

LARRY S MILNER, MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LARRY STEPHEN MILNER MD (PRESIDENT)
(847) 498-1515
Entity
Organization

Contact information

Practice address
1500 SHERMER RD, NORTHBROOK, IL 60062-5340
(847) 498-1515
(847) 498-2362
Mailing address
1500 SHERMER RD, NORTHBROOK, IL 60062-5340
(847) 498-1515
(847) 498-2362

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3641209
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1215983846
INDIVIDUAL NPI
IL
Enumeration date
01/28/2008
Last updated
01/28/2008
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