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NPI Code Detail

MEDICARE: TAYLOR MILLER APN-CNM

MEDICARE:   TAYLOR  MILLER  APN-CNM
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
1163WM0102XMaternal Newborn Registered Nurse041527720IL
2176B00000XMidwife
3367A00000XAdvanced Practice Midwife209025769IL

General Provider Information

NPI Number : 1508584103
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR MILLER APN-CNM
Provider Business Mailing Address
First Line : 225 N MILWAUKEE AVE
Second Line :
City : VERNON HILLS
State : IL
Zip : 60061-4304
Country : US
Telephone Number : 847-941-7600
Fax Number : 847-941-7697
Provider Business Practice Location Address
First Line : 1555 BARRINGTON RD DOB 1 STE 410
Second Line :
City : HOFFMAN ESTATES
State : IL
Zip : 60169-1065
Country : US
Telephone Number : 847-781-1894
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2022
Last Update Date : 01/10/2023

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