MILAN MEDICAL GROUP LTD
NPI 1346362589
General Practice in Milan, IL

Active since April 06, 2007CLIA 14D1049387 · Waiver
1929 10TH AVE E, MILAN, IL 61264(309) 787-2600(309) 787-2643 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Aug 6, 2025, Jun 14, 2025 and 1 more (4 updates tracked since 2020).

About Milan Medical Group Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILAN MEDICAL GROUP LTD (NPI 1346362589), doing business as Blackwood Family Wellness, is a healthcare organization registered as a general practice in Milan, Illinois and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through January 3, 2028 and lists Raymond A Burge, Owner, as its authorized official.

NPPES Registry Identity

NPI1346362589
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMILAN MEDICAL GROUP LTD
Location Address1929 10TH AVE EMilan, IL 61264
Mailing Address1929 10th Ave EMilan, IL 61264 · (309) 787-2600 · Fax (309) 787-2643
Fax(309) 787-2643
Organization SubpartNo
Authorized OfficialRaymond A BurgeOwner · (309) 787-2600
Enumeration DateApril 6, 2007
Last NPPES UpdateSeptember 2, 20254 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
NPI 1346362589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedChiropractorTaxonomy 111N00000X
1929 10TH AVE E, Milan, IL 61264

Other Names 1

Doing Business AsBlackwood Family Wellness

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1049387

Milan Medical Group · Milan, IL
Active · expires Jan 3, 2028
CLIA Number14D1049387
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2026
Certificate Expiration DateJanuary 3, 2028
Laboratory DirectorNancy Lank
Laboratory Phone(309) 787-2600
Laboratory LocationMilan Medical Group1929 E 10th Ave, Milan, IL 61264
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1929 10TH AVE E
MILAN, IL 61264
Optometrist
1929 10TH AVE E
MILAN, IL 61264
Physician Assistant (Medical)
1929 10TH AVE E
MILAN, IL 61264
Chiropractor
1929 10TH AVE E
MILAN, IL 61264
Optometrist
1929 10TH AVE E
MILAN, IL 61264
Optometrist
1929 10TH AVE E
MILAN, IL 61264
Nurse Practitioner (Family)
1929 10TH AVE E
MILAN, IL 61264
Family Medicine
1929 10TH AVE E
MILAN, IL 61264

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Milan Medical Group Ltd's NPI number?

The NPI number for Milan Medical Group Ltd is 1346362589. It was assigned to this organization in the NPPES registry on April 6, 2007. The provider is doing business as Blackwood Family Wellness.

Where is Milan Medical Group Ltd located?

Milan Medical Group Ltd is located at 1929 10th Ave E, Milan, IL 61264. The listed phone number is (309) 787-2600.

What is Milan Medical Group Ltd's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Milan Medical Group Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1049387) is associated with this NPI, valid through January 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Milan Medical Group Ltd accept?

Health plans from Medica list Milan Medical Group Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Milan Medical Group Ltd was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.