Miller, Celina G

Miller, Celina G is an individual health care provider with primary practice located at 4309 W Medical Center Dr Ste B310 , Mchenry IL 60050. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Miller, Celina G can be contacted via phone (815) 338-6600.

Contact Information

Primary practice address
4309 W Medical Center Dr Ste B310 Mchenry IL 60050
Fax: (815) 759-4692
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036096693 Illinois

Profile Details

NPI number 1558410886
LBN Legal business name Miller, Celina G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Oct 19th, 2018 - 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 1558410886 NPPES
Illinois Other 036096693 STATE LICENSE

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