Provider Demographics
NPI:1821459165
Name:MILATES CENTER FOR WELL-BEING INC.
Entity Type:Organization
Organization Name:MILATES CENTER FOR WELL-BEING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MARKO
Authorized Official - Middle Name:
Authorized Official - Last Name:MIHAILOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:773-816-4228
Mailing Address - Street 1:474 N LAKE SHORE DR
Mailing Address - Street 2:2004
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-6463
Mailing Address - Country:US
Mailing Address - Phone:312-918-2777
Mailing Address - Fax:
Practice Address - Street 1:155 N MICHIGAN AVE
Practice Address - Street 2:334
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-7511
Practice Address - Country:US
Practice Address - Phone:312-918-2777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-15
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180010141101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty