Individual provider Active NPI

Mila C R Bacalla, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1942288550
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3647298 Issued in IL
Practice address
2222 W Division
Suite 340
Chicago, IL 60622-3086
Phone
(223) 227-5707
Fax
(847) 675-1131
NPI assigned
Jan 4, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3647298 IL Primary

Addresses

Primary practice location

2222 W Division
Suite 340
Chicago, IL 60622-3086

Mailing address

4459 W Jarvis Ave
Lincolnwood, IL 60712-1813
Phone (773) 227-5707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160211001220 IL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7810939600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3647298ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care of North Chicago, LTD Past Accepting new patients
Mila C R Bacalla MD SC Internal Medicine Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1942288550",
    "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": "223-227-5707",
            "fax_number": "847-675-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACALLA",
        "first_name": "MILA C",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "3647298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.