MEDICARE: DR. GEORGE MILLER D.O.

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	207P00000X	Emergency Medicine Physician		IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00280685	OTHER	IL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982674990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE MILLER D.O.

Provider Business Mailing Address
First Line	:	18210 LA GRANGE RD
Second Line	:	SUITE 110
City	:	TINLEY PARK
State	:	IL
Zip	:	60487-7722
Country	:	US
Telephone Number	:	708-478-2500
Fax Number	:

Provider Business Practice Location Address
First Line	:	18210 LA GRANGE RD
Second Line	:	SUITE 110
City	:	TINLEY PARK
State	:	IL
Zip	:	60487-7722
Country	:	US
Telephone Number	:	708-478-2500
Fax Number	:

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

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	04/14/2008

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Directions to “ DR. GEORGE MILLER D.O.” Practice Location

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