Provider Demographics
NPI:1275631426
Name:MILIK, ADAM W (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:W
Last Name:MILIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9875 W LINCOLN HWY STE 103
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-1933
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4854 W COURT ST
Practice Address - Street 2:
Practice Address - City:MONEE
Practice Address - State:IL
Practice Address - Zip Code:60449-8988
Practice Address - Country:US
Practice Address - Phone:708-534-2000
Practice Address - Fax:708-534-2001
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME162287207R00000X
IL036098612207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL14D1073833OtherCLIA
ILP00469461OtherRAILROAD MEDICARE
IL36098612Medicaid
FLQV285OtherHFMG MA
IL4632039OtherBC GROUP #
ILIL7448001Medicare PIN
IL4632039OtherBC GROUP #