Shunta M Milam, AAS, BA, M.ED, MBA

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

201 Cheshire CT
Bolingbrook, IL 60440-2033

Phone

(630) 901-2181

NPI assigned

Mar 5, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Applied Science, Bachelor of Arts, Master of Education, Master of Business Administration

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1073836045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CHESHIRE CT",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402033",
            "telephone_number": "630-901-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CHESHIRE CT",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402033",
            "telephone_number": "630-901-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAM",
        "first_name": "SHUNTA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "AAS, BA, M.ED, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-05",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tricia L Mitchell, DPT, MPT

• Developmental Therapist in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.