Miller, Gary Klaud
Miller, Gary Klaud is an sole proprietor health care provider with primary practice located at 2617 W Peterson Ave , Chicago IL 60659-4044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Miller, Gary Klaud can be contacted via phone (847) 475-0200.Contact Information
Primary practice address
2617 W Peterson Ave
Chicago IL 60659-4044
Phone: (847) 475-0200
Fax: (847) 475-7133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036052836 | Illinois |
Profile Details
| NPI number | 1568436145 |
|---|---|
| LBN Legal business name | Miller, Gary Klaud |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Feb 24th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568436145 | NPPES |
| Illinois | MEDICAID | 036052836 |
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