Provider Demographics
NPI:1275676926
Name:MILOFSKY, CHARLES ALAN (EDD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:ALAN
Last Name:MILOFSKY
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8109 SIERRA WOODS LN
Mailing Address - Street 2:
Mailing Address - City:CARPENTERSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60110-3390
Mailing Address - Country:US
Mailing Address - Phone:847-217-2131
Mailing Address - Fax:
Practice Address - Street 1:1595 WELD RD
Practice Address - Street 2:SUITE 5
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-5896
Practice Address - Country:US
Practice Address - Phone:847-217-2131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical