Todd S Miller, | |
3010 Grand Ave, Waukegan, IL 60085-2321 | |
(847) 377-8200 | |
Not Available |
Full Name | Todd S Miller |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 3010 Grand Ave, Waukegan, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114291911 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 178004336 (Illinois) | Primary |
Entity Name | County Of Lake |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164446712 PECOS PAC ID: 7214838861 Enrollment ID: O20040116000192 |
Mailing Address | Practice Location Address |
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Todd S Miller, 3010 Grand Ave, Waukegan, IL 60085-2321 Ph: () - | Todd S Miller, 3010 Grand Ave, Waukegan, IL 60085-2321 Ph: (847) 377-8200 |
Linda Metts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-7847 Fax: 847-984-5635 | |
Mrs. Patrice Louise Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8120 Fax: 847-984-5689 | |
Mr. Raymond Bernard Mcqueen, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8296 Fax: 847-984-5689 | |
Sindy Lorena Guerra, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8321 Fax: 847-793-5689 | |
Richard Andrew Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3002 Grand Ave, Waukegan, IL 60085 Phone: 847-377-3257 | |
Janaina Maria Silva, NCE, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 Washington St, Waukegan, IL 60085 Phone: 847-441-5600 Fax: 847-441-7968 | |
Vernessa Stepney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8296 Fax: 847-984-5689 |