Dr Joshua Devereux Miller, MD, PHD | |
400 Riverside Dr Ste 1600, Bourbonnais, IL 60914-5406 | |
(815) 802-7090 | |
(815) 802-7091 |
Full Name | Dr Joshua Devereux Miller |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 400 Riverside Dr Ste 1600, Bourbonnais, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225114663 | NPI | - | NPPES |
036147403 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 4301066073 (Michigan) | Secondary |
207X00000X | Orthopaedic Surgery | 036147403 (Illinois) | Primary |
Entity Name | Riverside Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780 |
Mailing Address | Practice Location Address |
---|---|
Dr Joshua Devereux Miller, MD, PHD 400 Riverside Dr Ste 1600, Bourbonnais, IL 60914-5406 Ph: (815) 802-7090 | Dr Joshua Devereux Miller, MD, PHD 400 Riverside Dr Ste 1600, Bourbonnais, IL 60914-5406 Ph: (815) 802-7090 |
Dr. Jonathan Cappeller Cotton, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 Riverside Dr Ste 1600, Bourbonnais, IL 60914 Phone: 815-802-7090 Fax: 815-802-7091 | |
William Mosenthal, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6712 N Convent St, Bourbonnais, IL 60914 Phone: 815-928-8050 Fax: 815-928-8932 | |
Dr. Taruna Madhav Crawford, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 Riverside Dr Ste 1600, Bourbonnais, IL 60914 Phone: 815-802-7090 Fax: 815-802-7091 | |
Holly Brockman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6712 N Convent St, Bourbonnais, IL 60914 Phone: 815-928-8050 Fax: 815-928-8932 | |
Majd Tarabichi, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 6712 N Convent St, Bourbonnais, IL 60914 Phone: 815-928-8050 Fax: 815-928-8932 |