Miller, Kathleen

Miller, Kathleen is an individual health care provider with primary practice located at 882 W Nippersink Rd , Round Lake IL 60073-3701. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Miller, Kathleen can be contacted via phone (847) 270-9920.

Contact Information

Primary practice address
882 W Nippersink Rd Round Lake IL 60073-3701
Fax:
Website:

Health care specialties

Profile Details

NPI number 1932757952
LBN Legal business name Miller, Kathleen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2019
Last updated Sep 3rd, 2019 - about 5 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 1932757952 NPPES
Illinois MEDICAID 1477677763

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