Individual
JACKLYN MILOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 S PROSPECT AVE, ELMHURST, IL 60126-3271
(630) 617-3605
Mailing address
905 GLENDALE RD, GLENVIEW, IL 60025-4007
(847) 863-8151
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209024229
IL
Other
Enumeration date
01/05/2022
Last updated
03/02/2023
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