# NORTHSIDE RHEUMATOLOGY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437860061
- **Authorized official:** KIMBERLY NOELLE MILLER (DIRECTOR OF RCM)
- **Authorized official phone:** (248) 331-7908

## Contact information

- **Practice address:** 1945 W WILSON AVE STE 100, CHICAGO, IL 60640-7927
- **Practice address phone:** (773) 769-9040
- **Practice address fax:** (847) 866-8990
- **Mailing address:** PO BOX 779335, CHICAGO, IL 60677-0438
- **Mailing address fax:** (847) 866-8990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | — | NULL | Yes |
| 207RR0500X | Rheumatology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2022
- **Last updated:** 08/26/2026