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Individual

KATHLEEN J MILLER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
250 W KENWOOD AVE, DECATUR, IL 62526
(217) 876-5800
(217) 876-5822
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-7578
(217) 545-1884

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
IL

Other

Enumeration date
12/23/2005
Last updated
07/08/2007
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