Provider Demographics
NPI:1124260294
Name:MILKA, DAWN LYNN
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:LYNN
Last Name:MILKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2470 LINCOLNWOOD CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-6030
Mailing Address - Country:US
Mailing Address - Phone:815-693-0301
Mailing Address - Fax:630-340-4575
Practice Address - Street 1:2470 LINCOLNWOOD CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-6030
Practice Address - Country:US
Practice Address - Phone:815-693-0301
Practice Address - Fax:630-340-4575
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-03
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2009-00087171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter