Individual
THOMAS ILIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2323 N LAKE DR STE 1031, MILWAUKEE, WI 53211-4508
(414) 585-1620
(414) 585-1924
Mailing address
2323 N LAKE DR STE 1031, MILWAUKEE, WI 53211-4508
(414) 585-1620
(414) 585-1924
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
71502-20
WI
Other
Enumeration date
03/26/2017
Last updated
12/26/2021
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