Individual
DR. GRANT THOMAS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8362 GRAND AVE, RIVER GROVE, IL 60171
(708) 583-1100
Mailing address
2951 N TALMAN AVE APT 3F, CHICAGO, IL 60618-7837
(812) 767-4034
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011216
IL
152WL0500X
Low Vision Rehabilitation Optometrist
046011216
IL
Other
Enumeration date
07/03/2017
Last updated
06/27/2019
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