Samuel Kirk Mills
Specialist in Woodridge, IL. Individual provider (NPI-1).
NPI number1295035608
StatusActive
Last updated in NPPESNov 1, 2010
Details
- NPI
- 1295035608
- Entity type
- Individual (NPI-1)
- Name
- Samuel Kirk Mills
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2010
- Last updated
- Nov 1, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
| 1744R1102X | Specialist, Research Study | – | – | |
| 374K00000X | Religious Nonmedical Practitioner | – | – |
Practice location
7725 Woodward Ave1a
Woodridge, IL 60517-3123
Phone 630-774-8310
Mailing address
7725 Woodward Ave1a
Woodridge, IL 60517-3123
Phone 630-774-8310
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