Organization
NORTHWEST SUBURBAN URGENT CARE
Active
Other names
Northwest Suburban Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MCMILLER M.D. (RADIOLOGIST)
(847) 356-9016
Entity
Organization
Contact information
Practice address
201 S. MILUAKEE AVE., LAKE VILLA, IL 60046
(847) 356-9016
Mailing address
201 S. MILUAKEE AVE., LAKE VILLA, IL 60046
(847) 356-9016
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
IL-01417-01
IL
247100000X
Radiologic Technologist
IL-01417-01
IL
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
IL-01417-01
IL
2471V0105X
Vascular Sonography Radiologic Technologist
IL-01417-01
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C42529
DR. EJAZ RAHIM UPIN #
IL
01
—
C45845
DR. ROBERT MCMILLER UPIN#
IL
01
—
D14995
DR. JOE F. JACOBS UPIN#
IL
01
—
H62197
DR. NIGHAT NISAR UPIN#
IL
01
—
IL-01417-01
RADIOLOGY MATERIAL LIC.
IL
Enumeration date
04/25/2007
Last updated
06/21/2018
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