Individual
LUVISMINDA MILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1106 NEAL AVE, JOLIET, IL 60433-2548
(815) 727-8670
Mailing address
927 RUNYAN DR, LOCKPORT, IL 60441-3734
(815) 838-1839
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036045462
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036045462
—
IL
Enumeration date
08/31/2006
Last updated
07/08/2007
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