Provider Demographics
NPI:1952048068
Name:MILLENNIA HEALTH LLC
Entity Type:Organization
Organization Name:MILLENNIA HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMIT
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-796-2624
Mailing Address - Street 1:7530 WOODWARD AVE STE P
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-3100
Mailing Address - Country:US
Mailing Address - Phone:630-796-2624
Mailing Address - Fax:630-796-2642
Practice Address - Street 1:805 S MAIN ST STE P
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-3300
Practice Address - Country:US
Practice Address - Phone:630-796-2624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MILLENNIA HEALTH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-19
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy