MILT88 INC NPI 1245781269

NPI Information

  • NPI: 1245781269
  • Provider Name: MILT88 INC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 6501 95TH ST
    SEARS OPTICAL
    CHICAGO RIDGE, IL
    ZIP 60415
  • Phone: (708) 499-4676

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NPI Details

MILT88 INC is a clinic center in Chicago Ridge, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MILT88 INC NPI is 1245781269. The provider is registered as an organization entity type.

The provider's business location address is:

6501 95TH ST
SEARS OPTICAL
CHICAGO RIDGE, IL
ZIP 60415-632
Phone: (708) 499-4676

The provider's authorized official is Michael Tabernacki .
The authorized official title is President and has the following contact phone number (708) 601-2688.

The enumeration date for this NPI number is 10/14/2016 and was last updated on 10/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center046-008140ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1156111MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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