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Individual

DR. AMY DARA MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
1305 REMINGTON RD, SUITE T, SCHAUMBURG, IL 60173-4833
(847) 845-4045
(847) 519-9089
Mailing address
1305 REMINGTON RD, SUITE T, SCHAUMBURG, IL 60173-4833
(847) 845-4045
(847) 519-9089

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-005912
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
216-232-73
BC/BS PROVIDER ID#
IL
01
36-4313557
FEDERAL ID#
IL
Enumeration date
09/01/2006
Last updated
12/24/2021
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