Individual
SHEKENA ANN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
226 W ONTARIO ST STE 400C, CHICAGO, IL 60654-3619
(312) 912-7008
(312) 533-2842
Mailing address
226 W ONTARIO ST STE 400C, CHICAGO, IL 60654-3619
(312) 912-7008
(312) 533-2842
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-7512-0001-A
IL
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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