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Individual

ALBERT F. MILFORD III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
24 JOLIET ST, SUITE 101, DYER, IN 46311-1705
(219) 865-2141
(219) 864-2644
Mailing address
6 BUTTERFIELD CIR, FLOSSMOOR, IL 60422-2148
(847) 587-6112
(847) 587-6113

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02000962A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036054094
IL
05
100005230
IN
Enumeration date
01/23/2007
Last updated
12/13/2019
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