MILAN MEDICAL GROUP, LTD (NPI# 1346362589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346362589 |
| Entity Type | Organization |
| Organization Name | MILAN MEDICAL GROUP, LTD |
| Other Organization Name | COAL VALLEY MEDICAL CENTER |
| Practice Address |
1929 10th Ave E Milan IL 61264-2953 |
| Practice Telephone | 3097872600 |
| Practice Fax Number | 3097872643 |
| Mailing Telephone | 3097872600 |
| Mailing Fax Number | 3097872643 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RAYMOND A BURGE (OWNER) |
| Authorized Official Telephone | 3097872600 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 111N00000X | Chiropractor | IL | Chiropractic Providers | |
| X | 208D00000X | General Practice | IL | Allopathic & Osteopathic Physicians | |
| X | 225100000X | Physical Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| X | 363LF0000X |
Nurse Practitioner Specialization: Family |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE SHIELD FACILITY ID | 8132027 | 01 |
| Other Name | Type Code |
|---|---|
| Coal Valley Medical Center | Former Legal Business Name - Organization |
| Street Address |
1929 10TH AVE E |
| City | MILAN |
| State | IL |
| Zip Code | 61264-2953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598764318 | Heather Leigh Stroud | Physical Medicine & Rehabilitation | 1929 10th Ave E, Milan, IL 61264-2953 | 2005-07-14 |
| 1073171914 | Lacey Elizabeth Hainline I | Optometrist | 1929 10th Ave E, Milan, IL 61264-2953 | 2019-06-05 |
| 1093378093 | Kalee Emily Hartman | Physician Assistant | 1929 10th Ave E, Milan, IL 61264-2953 | 2019-04-16 |
| 1245606946 | Kimberley Donald | Nurse Practitioner | 1929 10th Ave E, Milan, IL 61264-2953 | 2015-08-17 |
| 1144609488 | Sadegh Milad Asefi | Chiropractor | 1929 10th Ave E, Milan, IL 61264 | 2015-05-20 |
| 1093055782 | Mariellen E Krischel | Nurse Practitioner | 1929 10th Ave E, Milan, IL 61264-2953 | 2013-02-18 |
| 1245592369 | Milan Medical Judge Eyecare, LLC | Optometrist | 1929 10th Ave E, Milan, IL 61264-2953 | 2012-06-14 |
| 1205065620 | Quinn L Judge | Optometrist | 1929 10th Ave E, Milan, IL 61264-2953 | 2009-07-07 |
| 1356317127 | Nancy Lank | Family Medicine | 1929 10th Ave E, Milan, IL 61264-2953 | 2006-02-23 |
| 1629079280 | Susan Elizabeth Alden | Psychiatry & Neurology | 1929 10th Ave E, Milan, IL 61264-2953 | 2005-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962736876 | Milan Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1929 East 10th Avenue, Milan, IL 61264 | 2009-09-24 |
| 1396924262 | Sherif Ragheb M.d., S.c. | Otolaryngology | 1931 E 10th Ave., Milan, IL 61264 | 2007-10-29 |
| 1356340533 | Raymond A Burge | Chiropractor | 1929 E 10th Ave, Milan, IL 61264 | 2005-07-19 |
| 1205215928 | Jessica Binns | Physical Therapy Assistant | 717 10th St W, Milan, IL 61264-2228 | 2015-05-27 |
| 1053352922 | Highland Park Cvs LLC | Pharmacy | 910 4th St W, Milan, IL 61264-2318 | 2006-06-09 |
| 1821027616 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 201 10th Ave W, Milan, IL 61264-2342 | 2006-07-02 |
| 1871157545 | Alan Phelps | Pharmacist | 201 10th Ave W, Milan, IL 61264-2342 | 2019-04-27 |
| 1578844312 | Regina Marie Struss | Dietitian, Registered | 201 10th Ave W, Milan, IL 61264-2342 | 2011-09-07 |
| 1679862361 | Allen Koster | Pharmacist | 201 10th Ave W, Milan, IL 61264-2342 | 2011-04-01 |
| 1932125473 | Janet Rafferty | Pharmacist | 201 10th Ave W, Milan, IL 61264-2342 | 2006-07-15 |
| Find all providers in zip 61264 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862937 | Kailee Geosling | Chiropractor | 125 S Pearl St, Milan, MO 63556-1446 | 2020-02-10 |
| 1811299316 | Susan Emily Ewen | Chiropractor | 222 10th Ave E # 52803, Milan, IL 61264-3114 | 2010-12-03 |
| 1124227129 | Bankus Chiropractic | Chiropractor | 709 N Pearl St, Milan, MO 63556-2465 | 2007-07-11 |
| 1457578122 | Charles C Gerleman Dcpc | Chiropractor | 504 1st St W, Milan, IL 61264-2716 | 2007-04-20 |
| 1649396474 | Lyndsey Paquette Powers | Chiropractor | 1133 S Main St, Milan, TN 38358-2725 | 2007-03-22 |
| 1871671867 | James L. Hudson | Chiropractor | 222 10th Ave E, Milan, IL 61264-3114 | 2006-11-01 |
| 1750321642 | Karla Sue Buckrop | Chiropractor | 331 4th Street West, Milan, IL 61264-2455 | 2006-06-07 |
| 1184684524 | Patricia Gerleman Basala | Chiropractor | 504 1st Street West, Milan, IL 61264-2716 | 2006-03-27 |
| 1851379044 | James M Wagner | Chiropractor | 1162 Dexter St, Milan, MI 48160-1162 | 2006-01-06 |
| 1356340533 | Raymond A Burge | Chiropractor | 1929 E 10th Ave, Milan, IL 61264 | 2005-07-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.