Individual
MARC RUSSELL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5721 S MARYLAND AVE, CHICAGO, IL 60637-1425
(888) 824-0200
Mailing address
3444 SUNNYSIDE AVE, BROOKFIELD, IL 60513-1342
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036156917
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2016
Last updated
07/29/2022
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