DR. MATTHEW K MILLEMAN MD
NPI 1790420610
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since May 04, 2022PECOS Enrolled
5841 S MARYLAND AVE # MC3077, CHICAGO, IL 60637(773) 702-0529 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Matthew K Milleman Md NPPES

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

DR. MATTHEW K MILLEMAN MD (NPI 1790420610) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790420610
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MATTHEW K MILLEMANCredential: MD
Location Address5841 S MARYLAND AVE # MC3077Chicago, IL 60637-1443
Mailing Address150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965 · (773) 702-1150
Sole ProprietorYes
Enumeration DateMay 4, 2022
NPPES CertifiedMay 4, 2022
NPI 1790420610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5841 S MARYLAND AVE # MC3077, Chicago, IL 60637

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Matthew K Milleman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Psychiatry)
5841 S MARYLAND AVE # MC3077
CHICAGO, IL 60637
General Acute Care Hospital
5841 S MARYLAND AVE # MC3077
CHICAGO, IL 60637
Psychologist (Clinical)
5841 S MARYLAND AVE # MC3077
CHICAGO, IL 60637
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5841 S MARYLAND AVE # MC3077
CHICAGO, IL 60637
Psychiatry & Neurology (Psychiatry)
5841 S MARYLAND AVE # MC3077
CHICAGO, IL 60637
Psychiatry & Neurology (Psychiatry)
5841 S MARYLAND AVE # MC3077
CHICAGO, IL 60637
Psychologist (Clinical)
5841 S MARYLAND AVE # MC3077
CHICAGO, IL 60637
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5841 S MARYLAND AVE # MC3077
CHICAGO, IL 60637

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 Matthew Milleman's NPI number?

The NPI number for Matthew Milleman is 1790420610. It was assigned to this individual provider in the NPPES registry on May 4, 2022.

Where is Matthew Milleman located?

Matthew Milleman practices at 5841 S Maryland Ave # Mc3077, Chicago, IL 60637. The listed phone number is (773) 702-0529.

What is Matthew Milleman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Matthew Milleman enrolled in Medicare?

Yes. Matthew Milleman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Milleman was last updated on May 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.