Miller, Jeremy

Miller, Jeremy is an individual health care provider with primary practice located at 3633 W Lake Ave 204, Glenview IL 60026-5805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Miller, Jeremy can be contacted via phone (847) 729-2240.

Contact Information

Primary practice address
3633 W Lake Ave 204 Glenview IL 60026-5805
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036109945 Illinois

Profile Details

NPI number 1942250568
LBN Legal business name Miller, Jeremy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jan 24th, 2020 - about 6 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 1942250568 NPPES
Illinois MEDICAID 036109945

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