Dr. Jeff Ilwilliam Miller, D.P.M.
Podiatrist, Foot & Ankle Surgery in Collinsville, IL. Individual provider (NPI-1).
NPI number1346289808
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1346289808
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeff Ilwilliam Miller
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 6, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 016003736 | IL | Yes |
Practice location
302 W Main StCollinsville, IL 62234-3017
Phone 618-345-3367 · Fax 618-345-1251
Mailing address
302 W Main StCollinsville, IL 62234-3017
Phone 618-345-3367 · Fax 618-345-1251
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