Individual
DR. KYLE RAY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(806) 543-5743
Mailing address
251 E HURON ST, CHICAGO, IL 60611-2908
(806) 543-5743
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125062025
IL
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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