MEDICARE: DR. AMBER ELIZABETH MILLS DC

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	111N00000X	Chiropractor		IL

General Provider Information

NPI Number	:	1093729154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMBER ELIZABETH MILLS DC

Provider Business Mailing Address
First Line	:	2116 W NORTH AVE
Second Line	:	UNIT: 3N
City	:	CHICAGO
State	:	IL
Zip	:	60647-5433
Country	:	US
Telephone Number	:	773-577-3274
Fax Number	:

Provider Business Practice Location Address
First Line	:	3322 N ASHLAND AVE
Second Line	:	SECOND FLOOR
City	:	CHICAGO
State	:	IL
Zip	:	60657-2109
Country	:	US
Telephone Number	:	773-281-8177
Fax Number	:	773-990-9124

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	03/12/2008

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