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Individual

DR. FREDERICK HOWARD MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
800 BIESTERFIELD RD STE 207, ELK GROVE VILLAGE, IL 60007-3378
(847) 228-6543
(847) 577-3587
Mailing address
800 BIESTERFIELD RD STE 207, ELK GROVE VILLAGE, IL 60007-3378
(847) 228-6543
(847) 577-3587

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016002837
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016002837
IL
01
480032945
RAILROAD MEDICARE
IL
01
60000958
BCBS OF IL
IL
Enumeration date
10/04/2005
Last updated
11/13/2018
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