Individual
MARY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1475 E BELVIDERE RD, PAVILION C STE 385, GRAYSLAKE, IL 60030-2012
(847) 535-7647
(847) 535-7260
Mailing address
680 N LAKE SHORE DR, SUITE 1000, CHICAGO, IL 60611-4546
(312) 695-9797
(847) 535-7260
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
164001864
IL
Other
Enumeration date
09/27/2006
Last updated
03/01/2017
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