Mila C R Bacalla MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MILA C R BACALLA MD SC

Practice address

2222 W Division
Suite 340
Chicago, IL 60622-3086

Phone

(773) 227-5707

Fax

(847) 675-1131

NPI assigned

Dec 27, 2005

Organization subpart

No

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

Authorized official

Name

Mila C R Bacalla, MDNPI 1942288550

Title

President

Phone

(773) 227-5707

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mila C R Bacalla, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1942288550
  NPD (past) Authorized official

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942287479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4459 W JARVIS AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121813",
            "telephone_number": "773-227-5707",
            "fax_number": "847-675-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION",
            "address_2": "SUITE 340",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223086",
            "telephone_number": "773-227-5707",
            "fax_number": "847-675-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILA C R BACALLA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BACALLA",
        "authorized_official_first_name": "MILA C",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-227-5707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Mikrut, LCPC, LPHA
• Kristen Elizabeth Mikula, APRN
• Rachel P Mikula, LCSW
• Paul Matthew Mikulski, D.C., C.C.N.
• Vanessa Mikuta, MS, OTR/L
• Mila Zelenkovich, D.D.S.,LTD.
• Nora Mila
• Magdy Milad, MD
• Milagros Villalobos MD SC
• Milagros Villalobos, MD SC

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.