Individual
LAUREN LANDERHOLM MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4423 N RAVENSWOOD AVE, CHICAGO, IL 60640-5802
(773) 432-6570
Mailing address
1301 W DEVON AVE, CHICAGO, IL 60660-1329
(773) 751-7800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.156536
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2018
Last updated
02/14/2024
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