Provider Demographics
NPI:1871540633
Name:MILIN, KENNETH N (DDS)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:N
Last Name:MILIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:732 ELM ST
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:IL
Mailing Address - Zip Code:60093-2567
Mailing Address - Country:US
Mailing Address - Phone:847-446-5868
Mailing Address - Fax:
Practice Address - Street 1:732 ELM ST
Practice Address - Street 2:
Practice Address - City:WINNETKA
Practice Address - State:IL
Practice Address - Zip Code:60093-2567
Practice Address - Country:US
Practice Address - Phone:847-446-5868
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice