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David R. Miller, Ltd.

Clinic/Center, Adult Mental Health in North Aurora, IL. Organization (NPI-2).

NPI number1285680827
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1285680827
Entity type
Organization (NPI-2)
Legal business name
David R. Miller, Ltd.
Organization subpart
No
Enumeration date
May 25, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health––Yes

Practice location

310 Banbury Rd
North Aurora, IL 60542-1260

Phone 630-892-7627

Mailing address

5301 W Madison St
Chicago, IL 60644-4040

Phone 773-261-1200 · Fax 773-261-1212

Authorized official

David R Miller
President
7732611200

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