| Miller Family Medicine, Sc | |
|
1503 Valle Vista Blvd Pekin IL 61554-6239 | |
| (309) 840-2177 | |
| Not Available |
| Full Name | Miller Family Medicine, Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 1503 Valle Vista Blvd, Pekin, Illinois |
| Authorized Official Name and Position | John Kevin Edward Miller (DIRECTOR) |
| Authorized Official Contact | 3098402177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miller Family Medicine, Sc 1503 Valle Vista Blvd Pekin IL 61554-6239 Ph: (309) 840-2177 | Miller Family Medicine, Sc 1503 Valle Vista Blvd Pekin IL 61554-6239 Ph: (309) 840-2177 |
| NPI Number | 1376708651 |
|---|---|
| Provider Enumeration Date | 07/25/2008 |
| Last Update Date | 11/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376708651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036105875 (Illinois) | Primary |
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