Individual
MR. NATHANIEL ERIC MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 664-3278
(312) 695-1903
Mailing address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 664-3278
(312) 695-1903
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085010395
IL
363A00000X
Physician Assistant
7092-23
WI
Other
Enumeration date
03/01/2022
Last updated
08/27/2024
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