Active NPI
Milennium Medical LTD
- Adult Health Nurse Practitioner
- Lindenhurst, IL
National Provider Identifier
1508346263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 209013714
- Legal business name
- MILENNIUM MEDICAL LTD
- Practice address
- 2866 Falling Waters
Lindenhurst, IL 60046 - Phone
- (773) 614-3302
- Fax
- (847) 906-1092
- NPI assigned
- Aug 21, 2018
- 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
- Aleksandra Besterfeldt, APRN
- Title
- Aprn
- Phone
- (773) 614-3302
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 209013714 | IL | Primary |
Addresses
Primary practice location
2866 Falling Waters
Lindenhurst, IL 60046
Mailing address
2033 N Milwaukee Ave
Unit 325
Riverwoods, IL 60015-0325
Phone (773) 614-3302
Other names 1
- Milennium Medical
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588723200000",
"number": "1508346263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2033 N MILWAUKEE AVE",
"address_2": "UNIT 325",
"city": "RIVERWOODS",
"state": "IL",
"postal_code": "600150325",
"telephone_number": "773-614-3302",
"fax_number": "847-906-1092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2866 FALLING WATERS",
"city": "LINDENHURST",
"state": "IL",
"postal_code": "60046",
"telephone_number": "773-614-3302",
"fax_number": "847-906-1092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILENNIUM MEDICAL LTD",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-21",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A",
"authorized_official_last_name": "BESTERFELDT",
"authorized_official_first_name": "ALEKSANDRA",
"authorized_official_title_or_position": "APRN",
"authorized_official_telephone_number": "773-614-3302",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": "209013714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Milennium Medical",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Lindenhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.