Miller, Jacob Nathaniel

Miller, Jacob Nathaniel is an individual health care provider with primary practice located at 225 E Chicago Ave , Chicago IL 60611-2991. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Miller, Jacob Nathaniel can be contacted via phone (312) 227-4000.

Contact Information

Primary practice address
225 E Chicago Ave Chicago IL 60611-2991
Phone: (312) 227-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS18552 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 036.163453 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036.163453 Illinois

Profile Details

NPI number 1154881282
LBN Legal business name Miller, Jacob Nathaniel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2019
Last updated Jul 4th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154881282 NPPES
Florida MEDICAID 114729400
Florida Other WETBJ

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