Miller, Mark

Miller, Mark is an individual health care provider with primary practice located at 1000 Grand Canyon Pkwy Ste 301 , Hoffman Estates IL 60169-1732. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Miller, Mark can be contacted via phone (847) 352-2822.

Contact Information

Primary practice address
1000 Grand Canyon Pkwy Ste 301 Hoffman Estates IL 60169-1732
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 036080141 Illinois

Profile Details

NPI number 1508894585
LBN Legal business name Miller, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Dec 26th, 2021 - about 3 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 1508894585 NPPES
Illinois MEDICAID 036080141

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