Provider Demographics
NPI:1477597268
Name:MILONAS, MATTHEW (DC)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:
Last Name:MILONAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1603 N AURORA RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-1869
Mailing Address - Country:US
Mailing Address - Phone:630-428-0768
Mailing Address - Fax:630-428-2293
Practice Address - Street 1:104 EASTPARK DR STE 102
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-7535
Practice Address - Country:US
Practice Address - Phone:931-206-8631
Practice Address - Fax:630-428-2293
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3455111N00000X
IL038-009376111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0002230196OtherBCBS IL
ILP00082960OtherRAILROAD MEDICARE
TN3455OtherLICENSE
ILU92989Medicare UPIN