Individual
MILAN DIWAKAR MULYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19550 GOVERNORS HWY STE 2500, FLOSSMOOR, IL 60422-2145
(708) 799-7600
(708) 799-8848
Mailing address
5841 S MARYLAND AVE # MC6082, CHICAGO, IL 60637-1443
(773) 834-0497
(773) 834-5964
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.134888
IL
208000000X
Pediatrics Physician
MD60548135
WA
Other
Enumeration date
03/29/2011
Last updated
10/22/2020
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