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Individual

DR. PATRICIA LYNN MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
350 HOUBOLT ROAD, SUITE 201, JOLIET, IL 60431-8305
(815) 841-1555
(815) 741-1555
Mailing address
350 HOUBOLT ROAD, SUITE 201, JOLIET, IL 60431-8305
(815) 841-1555
(815) 741-1555

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071002555
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7576510
AETNA
01
81604
CONNECTICUT GENERAL LIFE
01
9972011
BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/10/2006
Last updated
03/07/2013
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