Individual provider Active NPI

Milena Triolo

  • Psychiatric/Mental Health Registered Nurse
  • Buffalo Grove, IL
National Provider Identifier
1417731464
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
041523563 Issued in IL
Practice address
1431 McHenry Rd Ste 105
Buffalo Grove, IL 60089-1378
Phone
(708) 286-1264
NPI assigned
Aug 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 941523563 IL
Critical Care Medicine Registered Nurse 163WC0200X 041523563 IL
Psychiatric/Mental Health Registered Nurse 163WP0808X 041523563 IL Primary

Addresses

Primary practice location

1431 McHenry Rd Ste 105
Buffalo Grove, IL 60089-1378

Mailing address

360 Galway CT
Bloomingdale, IL 60108-8808
Phone (630) 677-0997

Other practice location 1

360 Galway Ct
Bloomingdale, IL 60108-8808
Phone (630) 677-0997

Other practice location 2

14484 John Humphrey Dr
Orland Park, IL 60462-2638
Phone (708) 364-0580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
941523563ILMDAdministrator Registered Nurse
041523563ILMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1417731464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 GALWAY CT",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601088808",
            "telephone_number": "630-677-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 MCHENRY RD STE 105",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891378",
            "telephone_number": "708-286-1264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Galway Ct",
            "address_purpose": "LOCATION",
            "city": "Bloomingdale",
            "state": "IL",
            "postal_code": "601088808",
            "country_code": "US",
            "telephone_number": "630-677-0997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14484 John Humphrey Dr",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604622638",
            "country_code": "US",
            "telephone_number": "708-364-0580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIOLO",
        "first_name": "MILENA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "IL",
            "license": "941523563",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "IL",
            "license": "041523563",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IL",
            "license": "041523563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.