Individual
VINCENT MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 RECREATION DR, BOLINGBROOK, IL 60440-3071
(630) 972-9200
Mailing address
200 RECREATION DR, BOLINGBROOK, IL 60440-3071
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2360793
IL
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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