MEDICARE: DR. FREDERICK HOWARD MILLER DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	016002837	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	480032945	OTHER	IL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	60000958	OTHER	IL	BCBS OF IL
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083601041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FREDERICK HOWARD MILLER DPM

Provider Business Mailing Address
First Line	:	800 BIESTERFIELD RD STE 207
Second Line	:
City	:	ELK GROVE VILLAGE
State	:	IL
Zip	:	60007-3378
Country	:	US
Telephone Number	:	847-228-6543
Fax Number	:	847-577-3587

Provider Business Practice Location Address
First Line	:	800 BIESTERFIELD RD STE 207
Second Line	:
City	:	ELK GROVE VILLAGE
State	:	IL
Zip	:	60007-3378
Country	:	US
Telephone Number	:	847-228-6543
Fax Number	:	847-577-3587

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	11/13/2018

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Directions to “ DR. FREDERICK HOWARD MILLER DPM” Practice Location

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