Organization Active NPI

Larry S. Milner MD SC

  • Legal Medicine
  • Northbrook, IL
National Provider Identifier
1902054547
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
03641209 Issued in IL
Legal business name
LARRY S. MILNER MD SC
Practice address
1500 Shermer Rd
Northbrook, IL 60062-5340
Phone
(847) 498-1515
Fax
(847) 498-2362
NPI assigned
Sep 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Authorized official

Name
Dr. Larry Milner, MD
Title
President
Phone
(847) 498-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 03641209 IL Primary

Addresses

Primary practice location

1500 Shermer Rd
Northbrook, IL 60062-5340

Mailing address

1500 Shermer Rd
Northbrook, IL 60062-5340
Phone (847) 498-1515

Other identifiers 1

IdentifierTypeStateIssuer
0360412091MedicaidIL

National Provider Directory

National Provider Directory

Locations

1500 Shermer Rd
Northbrook, IL 60062
Phone (847) 498-1515

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1902054547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SHERMER RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625340",
            "telephone_number": "847-498-1515",
            "fax_number": "847-498-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SHERMER RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625340",
            "telephone_number": "847-498-1515",
            "fax_number": "847-498-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY S. MILNER MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "MILNER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-498-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "IL",
            "license": "03641209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360412091",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.