Organization Active NPI

Milennium Medical LTD

  • Adult Health Nurse Practitioner
  • Lindenhurst, IL
National Provider Identifier
1508346263
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209013714 Issued in IL
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

Updated by the provider on May 6, 2020

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)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.