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NPI Code Detail

MEDICARE: MRS. VERONICA LOUISE MILLER LPC, LCPC

MEDICARE: MRS. VERONICA LOUISE MILLER LPC, LCPC
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
1101YP2500XProfessional Counselor180.013645IL
2101YP2500XProfessional Counselor178.013540IL

General Provider Information

NPI Number : 1306340716
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VERONICA LOUISE MILLER LPC, LCPC
Provider Business Mailing Address
First Line : 2438 W WILSON AVE APT 1
Second Line :
City : CHICAGO
State : IL
Zip : 60625-3009
Country : US
Telephone Number : 708-623-5751
Fax Number :
Provider Business Practice Location Address
First Line : 1507 W LAWRENCE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60640-4702
Country : US
Telephone Number : 773-569-1468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2018
Last Update Date : 05/20/2021

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