Active NPI
Luvisminda Milo, M.D.
- Pediatrics Physician
- Joliet, IL
National Provider Identifier
1730290305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036045462
- Practice address
- 1106 Neal Ave
Joliet, IL 60433-2548 - Phone
- (815) 727-8670
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036045462 | IL | Primary |
Addresses
Primary practice location
1106 Neal Ave
Joliet, IL 60433-2548
Mailing address
927 Runyan Dr
Lockport, IL 60441-3734
Phone (815) 838-1839
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036045462 | Medicaid | IL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730290305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "927 RUNYAN DR",
"city": "LOCKPORT",
"state": "IL",
"postal_code": "604413734",
"telephone_number": "815-838-1839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 NEAL AVE",
"city": "JOLIET",
"state": "IL",
"postal_code": "604332548",
"telephone_number": "815-727-8670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILO",
"first_name": "LUVISMINDA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036045462",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036045462",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.