| Organization Name: | S L FUENTES MD D M MILANES MD SC |
| NPI Number: | 1053581371 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DULCE M MILANES (PHYSICIAN) |
| Mailing Address: | 107 Center St Grayslake |
| State: | IL US |
| Postal Code: | 600301532 |
| Phone Number: | 8472234661 |
| Fax Number: | 8472234190 |
| NPI Enumeration Date: | 03/03/2008 |
| NPI Last Update Date: | 07/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 036032823 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |