Organization Active NPI

Ivy Milwaukee Professional Service Corporation

  • Reproductive Endocrinology Physician
  • Milwaukee, WI
National Provider Identifier
1386569747
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
IVY MILWAUKEE PROFESSIONAL SERVICE CORPORATION
Practice address
787 N Broadway
Milwaukee, WI 53202-3614
Phone
(858) 925-5330
NPI assigned
Aug 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Kevin Cirillo
Title
Chief Financial Officer
Phone
(858) 925-5330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X Primary

Addresses

Primary practice location

787 N Broadway
Milwaukee, WI 53202-3614

Mailing address

1449 S Michigan Ave Ste 13454
Chicago, IL 60605-2810

Other names 1

  • Sage Reproductive Center - Milwaukee Other name

National Provider Directory

National Provider Directory

Locations

1301 N Broadway
#36686
Los Angeles, CA 90012

NPI Registry JSON

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

{
    "created_epoch": "1786492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1386569747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 S MICHIGAN AVE STE 13454",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 N BROADWAY",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023614",
            "telephone_number": "858-925-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY MILWAUKEE PROFESSIONAL SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-12",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "CIRILLO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "858-925-5330"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage Reproductive Center - Milwaukee",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.