Organization
MILLER MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J. DAVID BESHOAR SR. (PRESIDENT)
(847) 359-4642
Entity
Organization
Contact information
Practice address
3257 N. RIDGE, ARLINGTON HEIGHTS, IL 60004
(847) 537-2730
(847) 537-6701
Mailing address
3257 N. RIDGE, ARLINGTON HEIGHTS, IL 60004
(847) 537-2730
(847) 537-6701
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04520397
BC/BS IL PROV #
IL
Enumeration date
10/02/2006
Last updated
08/22/2020
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