Active NPI
Larry S. Milner MD SC
- Legal Medicine
- Northbrook, IL
National Provider Identifier
1902054547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 03641209
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0360412091 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
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.