Organization
EXERCISE RX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY S MILLER DN (MEDICAL DIRECTOR)
(847) 498-3736
Entity
Organization
Contact information
Practice address
707 LAKE COOK RD, SUITE 120, DEERFIELD, IL 60015-5613
(847) 498-3736
Mailing address
PO BOX 5979, BUFFALO GROVE, IL 60089-5979
(847) 897-5995
(847) 897-5990
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004926183
BCBS
IL
Enumeration date
12/14/2006
Last updated
08/22/2020
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