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Individual

DR. JOHN JOSEPH MILLICHAP

Active
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Individual

DR. JOHN JOSEPH MILLICHAP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
01086832A
IN
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
036118282
IL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
2024-00978
NC
2084N0600X
Clinical Neurophysiology Physician
036118282
IL

Other

Enumeration date
12/09/2007
Last updated
07/23/2024
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