Individual
DR. JUSTIN MACMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1425 N RANDALL RD # 2-1200, ELGIN, IL 60123-2300
(224) 783-2525
(224) 783-2527
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.162688
IL
207R00000X
Internal Medicine Physician
125.076402
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2020
Last updated
09/08/2023
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