Miller, Robert

Miller, Robert is an individual health care provider with primary practice located at 2160 S First Ave (1211 Roosevelt Rd., Maywood, Il. 60153), Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miller, Robert can be contacted via phone (708) 531-5200.

Contact Information

Primary practice address
2160 S First Ave (1211 Roosevelt Rd., Maywood, Il. 60153) Maywood IL 60153
Phone: (708) 531-5200
Fax: (708) 531-5201
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36103949 Illinois

Profile Details

NPI number 1417937004
LBN Legal business name Miller, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jul 7th, 2021 - about 4 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 1417937004 NPPES
Illinois MEDICAID 36103949

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