Miller, Todd S

Miller, Todd S is an individual health care provider with primary practice located at 3010 Grand Ave , Waukegan IL 60085-2321. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Miller, Todd S can be contacted via phone (847) 377-8200.

Contact Information

Primary practice address
3010 Grand Ave Waukegan IL 60085-2321
Phone: (847) 377-8200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178004336 Illinois

Profile Details

NPI number 1114291911
LBN Legal business name Miller, Todd S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2012
Last updated Feb 27th, 2012 - about 12 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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