Individual
JENNIFER E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1704 MAPLE AVE STE 100, EVANSTON, IL 60201-3134
(312) 694-2273
(312) 694-2299
Mailing address
680 N LAKE SHORE DR STE 1000, CHICAGO, IL 60611-8709
(312) 695-0665
(312) 695-6594
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002629
IL
Other
Enumeration date
06/12/2006
Last updated
04/04/2018
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