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

Individual provider Psychiatry Physician · NPI 1912438417

Thomas Ilic, MD is a Psychiatry in Milwaukee, Wisconsin. Graduated from Tufts University School of Medicine in 2017, 9 years ago. Practices with Columbia St Marys Hospital Milwaukee Inc, a 314-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
9
Trained at
Tufts University School of Medicine
Licensed in
WI
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2323 N Lake Dr Ste 1031
Milwaukee, WI 53211-4508
Phone: (414) 585-1620
Fax: (414) 585-1924
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 71502-20 (WI)

Record details

NPI number1912438417
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2017
Last updated in NPPESDecember 26, 2021
Certification dateDecember 26, 2021
Mailing address2323 N Lake Dr Ste 1031, Milwaukee, WI 53211-4508

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Columbia St Marys Hospital Milwaukee Inc — 314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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