Individual
MS. ANN ELIZABETH MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
612 PINE VIEW PASS, LAKE VILLA, IL 60046-6517
(847) 356-6553
Mailing address
612 PINE VIEW PASS, LAKE VILLA, IL 60046-6517
(847) 356-6553
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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