Individual provider · NPI-1

Dr. Walter John Miller Jr., MD

Surgery · Oak Brook, IL

NPI number1801037627
StatusActive
Last updated in NPPESMar 9, 2009

Details

NPI
1801037627
Entity type
Individual (NPI-1)
Name
Dr. Walter John Miller Jr.
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 9, 2009
Last updated
Mar 9, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery036-38083ILYes
207Q00000X Family Medicine036-38083IL

Practice location

13 Forest Gate Cir
Oak Brook, IL 60523-2129

Phone 630-571-3827

Mailing address

13 Forest Gate Cir
Oak Brook, IL 60523-2129

Phone 630-571-3827

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Surgery providers in Oak Brook, IL