Miller, Joshua Devereux

Miller, Joshua Devereux is an individual health care provider with primary practice located at 400 Riverside Dr Ste 1600 , Bourbonnais IL 60914-5406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Miller, Joshua Devereux can be contacted via phone (815) 802-7090.

Contact Information

Primary practice address
400 Riverside Dr Ste 1600 Bourbonnais IL 60914-5406
Fax: (815) 802-7091
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301066073 Michigan
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036147403 Illinois

Profile Details

NPI number 1225114663
LBN Legal business name Miller, Joshua Devereux
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Nov 8th, 2019 - 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 1225114663 NPPES
Illinois MEDICAID 036147403

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