Provider Demographics
NPI:1043307630
Name:MILAN, ELMER ARAYATA (PT)
Entity type:Individual
Prefix:MR
First Name:ELMER
Middle Name:ARAYATA
Last Name:MILAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:1738 N FROLIC AVENUE
Mailing Address - Street 2:
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085
Mailing Address - Country:US
Mailing Address - Phone:847-244-0673
Mailing Address - Fax:847-244-0673
Practice Address - Street 1:6 PHILLIP RD
Practice Address - Street 2:SUITE 1111
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061
Practice Address - Country:US
Practice Address - Phone:847-680-1092
Practice Address - Fax:847-573-1527
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist