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NPI Code Detail

MEDICARE: MELISSA MILLER

MEDICARE: MELISSA 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
1101YM0800XMental Health Counselor178.022380IL

General Provider Information

NPI Number : 1538022769
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA MILLER
Provider Business Mailing Address
First Line : 4745 MAIN ST STE 207
Second Line :
City : LISLE
State : IL
Zip : 60532-1758
Country : US
Telephone Number : 630-442-1895
Fax Number :
Provider Business Practice Location Address
First Line : 4745 MAIN ST STE 207
Second Line :
City : LISLE
State : IL
Zip : 60532-1758
Country : US
Telephone Number : 630-442-1895
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2025
Last Update Date : 12/04/2025

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Directions to “ MELISSA MILLER ” Practice Location

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