Individual
LOIS E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2255 W ROSCOE ST, CHICAGO, IL 60618-6238
(773) 832-1081
(773) 832-1082
Mailing address
PO BOX 872, EVANSTON, IL 60204-0872
(773) 832-1081
(773) 832-1082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-061613
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061613
—
IL
Enumeration date
12/20/2005
Last updated
02/24/2010
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