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NPI Code Detail

MEDICARE: NICHOLAS MILLER

MEDICARE: NICHOLAS MILLER
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207R00000XInternal Medicine Physician125.088077IL

General Provider Information

NPI Number : 1851016075
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS MILLER
Provider Business Mailing Address
First Line : 836 W WELLINGTON AVE STE 7304
Second Line :
City : CHICAGO
State : IL
Zip : 60657-5147
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 836 W WELLINGTON AVE STE 7304
Second Line :
City : CHICAGO
State : IL
Zip : 60657-5147
Country : US
Telephone Number : 312-766-4949
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2022
Last Update Date : 06/18/2026

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Directions to “ NICHOLAS MILLER ” Practice Location

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