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Individual

KIMBERLEY MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1775 BALLARD RD, PARK RIDGE, IL 60068-1005
(847) 318-2923
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
071010794
IL
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
Primary
071010794
IL

Other

Enumeration date
09/06/2016
Last updated
12/01/2022
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