Provider Demographics
NPI:1659364859
Name:MILOS, CHRISTINA E (AUD, FAAA)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:E
Last Name:MILOS
Suffix:
Gender:F
Credentials:AUD, FAAA
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:E
Other - Last Name:COTTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD, FAAA
Mailing Address - Street 1:660 N WESTMORELAND RD
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-1659
Mailing Address - Country:US
Mailing Address - Phone:847-595-6114
Mailing Address - Fax:847-535-7809
Practice Address - Street 1:660 N WESTMORELAND RD
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:IL
Practice Address - Zip Code:60045-1659
Practice Address - Country:US
Practice Address - Phone:847-535-6114
Practice Address - Fax:847-535-7809
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23002320A231H00000X
231HA2400X, 231HA2500X, 237600000X
IL147001304231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000549352OtherANTHEM - CROWN PT
IN000000550073OtherANTHEM - VALPARAISO
IN200496440Medicaid
IL147001304OtherSTATE OF ILLINOIS
IN000000549352OtherANTHEM - CROWN PT