Provider Demographics
NPI:1134749187
Name:MILAN ALVARADO, ELIGIA
Entity type:Individual
Prefix:MRS
First Name:ELIGIA
Middle Name:
Last Name:MILAN ALVARADO
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ELIGIA
Other - Middle Name:
Other - Last Name:MILAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4539 S FRANCISCO AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60632-1910
Mailing Address - Country:US
Mailing Address - Phone:630-697-2147
Mailing Address - Fax:
Practice Address - Street 1:600 DAVIS ST
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-4488
Practice Address - Country:US
Practice Address - Phone:708-683-3667
Practice Address - Fax:847-589-5793
Is Sole Proprietor?:No
Enumeration Date:2020-04-20
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.012654101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional