Individual
MARK MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 GRAND CANYON PKWY STE 301, HOFFMAN ESTATES, IL 60169-1732
(847) 352-2822
Mailing address
1000 GRAND CANYON PKWY STE 301, HOFFMAN ESTATES, IL 60169-1732
(847) 352-2822
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
036080141
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036080141
—
IL
Enumeration date
06/29/2006
Last updated
12/26/2021
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