Organization Active NPI

Ivy Milwaukee SC LLC

  • Ambulatory Fertility Facility
  • Milwaukee, WI
National Provider Identifier
1689599045
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Fertility FacilityTaxonomy code 261QA0006X
Legal business name
IVY MILWAUKEE SC LLC
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 11, 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
Ambulatory Fertility Facility 261QA0006X Primary

Addresses

Primary practice location

787 N Broadway
Milwaukee, WI 53202-3614

Mailing address

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

National Provider Directory

National Provider Directory

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": "1789084800000",
    "number": "1689599045",
    "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 SC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-12",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "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": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 11, 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.