Individual
SAMUEL KIRK MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7725 WOODWARD AVE, 1A, WOODRIDGE, IL 60517-3123
(630) 774-8310
Mailing address
7725 WOODWARD AVE, 1A, WOODRIDGE, IL 60517-3123
(630) 774-8310
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
1744R1102X
Research Study Specialist
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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