Individual
MS. LISA ANNE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-4040
Mailing address
2014 W CULLOM AVE, CHICAGO, IL 60618-1702
(773) 975-4206
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
IL
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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