Milla Medical Supply LTD

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203000795 Issued in IL

Legal business name

MILLA MEDICAL SUPPLY LTD

Doing business as

Milla Medical Supply LTD

Practice address

1249 S. Main St
Lombard, IL 60148-1249

Phone

(630) 495-0199

Fax

(630) 495-0189

NPI assigned

Aug 9, 2007

Last updated

Nov 5, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lioudmila Frolova

Title

Owner

Phone

(847) 668-4806

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Milla Medical Supply LTD Doing business as

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1942492301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 S MAIN ST.",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "60148",
            "telephone_number": "630-495-0199",
            "fax_number": "630-495-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 S. MAIN ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601481249",
            "telephone_number": "630-495-0199",
            "fax_number": "630-495-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLA MEDICAL SUPPLY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "FROLOVA",
        "authorized_official_first_name": "LIOUDMILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-668-4806",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME MEDICAL EQUIPMENT",
            "identifier": "203000795",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milla Medical Supply LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Lombard, IL
• Providers in Lombard, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.