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Individual

DR. FRANK DEREK MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
6208 N CLARK ST, CHICAGO, IL 60660-1208
(773) 338-5563
(773) 338-5548
Mailing address
6208 N CLARK ST, CHICAGO, IL 60660-1208
(773) 338-5563
(773) 338-5548

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01636210
BCBS ILLINOIS PROVIDER #
IL
Enumeration date
01/23/2007
Last updated
07/08/2007
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