Organization
KIMBERLY BATTLE-MILLER, MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BATTLE-MILLER MD (OWNER)
(708) 932-9351
Entity
Organization
Contact information
Practice address
15774 S LA GRANGE RD, #229, ORLAND PARK, IL 60462-4766
(773) 767-3822
(773) 767-3944
Mailing address
15774 S LA GRANGE RD, #229, ORLAND PARK, IL 60462-4766
(773) 767-3822
(773) 767-3944
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635624
BC/BS PROVIDER #
IL
Enumeration date
08/02/2006
Last updated
08/22/2020
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