Individual
MATTHEW MCMILLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61603-4307
(309) 672-5522
Mailing address
21276 NETWORK PL, CHICAGO, IL 60673-1212
(877) 485-4474
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
04/07/2006
Last updated
07/08/2007
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