Organization
NORTHWEST PSYCHIATRIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN NATHAN MILLER MD (OWNER PRIVATE PRACTITIONER)
(847) 821-0590
Entity
Organization
Contact information
Practice address
1217 N MCHENRY ROAD, SUITE 236, BUFFALO GROVE, IL 60089-1108
(847) 821-0590
(847) 821-0720
Mailing address
1217 N MCHENRY ROAD, SUITE 236, BUFFALO GROVE, IL 60089-1108
(847) 821-0590
(847) 821-0720
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04932119
BC BS OF ILLINOIS
IL
Enumeration date
02/06/2007
Last updated
08/22/2020
Update your record
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