Miller, Judith Anne
Miller, Judith Anne is an sole proprietor health care provider with primary practice located at 900 N Westmoreland Rd Suite #216, Lake Forest IL 60045-1674. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Miller, Judith Anne can be contacted via phone (847) 604-9882.Contact Information
Primary practice address
900 N Westmoreland Rd Suite #216
Lake Forest IL 60045-1674
Phone: (847) 604-9882
Fax: (847) 816-8621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois |
Profile Details
| NPI number | 1942322904 |
|---|---|
| LBN Legal business name | Miller, Judith Anne |
| Credentials | PSY.D., CDAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1942322904 | NPPES |
| Illinois | Other | 7443194 | AETNA PIN# |
| Illinois | Other | 04927677 | AETNA PIN# |
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