Miller, Michael

Miller, Michael is an individual health care provider with primary practice located at 1801 S Highland Ave Ste 130 , Lombard IL 60148-4932. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Miller, Michael can be contacted via phone (630) 627-4722.

Contact Information

Primary practice address
1801 S Highland Ave Ste 130 Lombard IL 60148-4932
Phone: (630) 627-4722
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-095904 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-095904 Illinois

Profile Details

NPI number 1255421558
LBN Legal business name Miller, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2006
Last updated Jan 20th, 2012 - about 14 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 1255421558 NPPES
Illinois MEDICAID 036095904

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