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Individual

DR. RACHELLE HASSON MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4200 W PETERSON AVE, SUITE 105, CHICAGO, IL 60646-6074
(773) 283-1340
(847) 821-0720
Mailing address
4200 W PETERSON AVE, SUITE 105, CHICAGO, IL 60646-6074
(773) 283-1340
(847) 821-0720

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036071579
IL
2084P0804X
Child & Adolescent Psychiatry Physician
036071579
IL

Other

Enumeration date
05/18/2008
Last updated
05/18/2008
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