Individual
DR. MARGARET SIDLES MILLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 JOHN DEERE RD, STE 401, MOLINE, IL 61265
(309) 779-4950
(309) 779-4905
Mailing address
600 JOHN DEERE RD, STE 401, MOLINE, IL 61265-6869
(309) 779-4950
(309) 779-4905
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
—
—
207P00000X
Emergency Medicine Physician
Primary
036.078142
IL
207Q00000X
Family Medicine Physician
036-078142
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00009683
RR MEDICARE
IL
05
—
0360781422
—
IL
05
—
1447239173
—
IA
01
—
200345
ILLINOIS MEDICARE
IL
01
—
8132014
ILLINOIS BLUE
IL
01
—
F400293098
MEDICARE PTAN
IL
Enumeration date
01/11/2006
Last updated
09/05/2018
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