Provider Demographics
NPI:1215983846
Name:MILNER, LARRY S (MD)
Entity type:Individual
Prefix:DR
First Name:LARRY
Middle Name:S
Last Name:MILNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1500 SHERMER RD
Mailing Address - Street 2:SUITE 325 E
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-5340
Mailing Address - Country:US
Mailing Address - Phone:847-498-1515
Mailing Address - Fax:847-498-2362
Practice Address - Street 1:1500 SHERMER RD
Practice Address - Street 2:SUITE 325 E
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-5340
Practice Address - Country:US
Practice Address - Phone:847-498-1515
Practice Address - Fax:847-498-2362
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC41693Medicare UPIN