Individual
JEFFREY S MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DN
Contact information
Practice address
707 LAKE COOK RD, SUITE 120, DEERFIELD, IL 60015-5613
(847) 498-3736
(847) 509-1589
Mailing address
PO BOX 5979, BUFFALO GROVE, IL 60089-5979
(847) 897-5995
(847) 897-5990
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004926183
BCBS
IL
Enumeration date
12/14/2006
Last updated
07/08/2007
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