Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Icor LLC

Organization Family Medicine Physician · NPI 1649863986

Icor LLC is a Family Medicine Physician in Milwaukee, Wisconsin. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5926 N Santa Monica Blvd
Milwaukee, WI 53217-4618
Phone: (773) 715-8034
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1649863986
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ludmil Lazarov — Owner · (773) 715-8034
NPI enumeratedFebruary 18, 2021
Last updated in NPPESApril 15, 2021
Certification dateApril 15, 2021
Mailing address5926 N Santa Monica Blvd, Milwaukee, WI 53217-4618

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