Individual
DR. WALTER JOHN MILLER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13 FOREST GATE CIR, OAK BROOK, IL 60523-2129
(630) 571-3827
Mailing address
13 FOREST GATE CIR, OAK BROOK, IL 60523-2129
(630) 571-3827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-38083
IL
208600000X
Surgery Physician
Primary
036-38083
IL
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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