Organization Name: | MILDER AND ASSOCIATES |
NPI Number: | 1063539005 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES C. MILDER (OWNER) |
Mailing Address: | 700 S Bartlett Rd Bartlett |
State: | IL US |
Postal Code: | 601034607 |
Phone Number: | 6304837601 |
Fax Number: | 6304837801 |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 08/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |