Active NPI
Ivy Milwaukee Professional Service Corporation
- Reproductive Endocrinology Physician
- Milwaukee, WI
National Provider Identifier
1386569747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.