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NPI Code Detail

MEDICARE: DR. MICHAEL MILES

MEDICARE: DR. MICHAEL MILES
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
1183500000XPharmacist051290202IL

General Provider Information

NPI Number : 1568742203
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL MILES
Provider Business Mailing Address
First Line : 933 N STATE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60610-2842
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 933 N STATE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60610-2842
Country : US
Telephone Number : 312-943-0671
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2011
Last Update Date : 08/25/2011

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Directions to “ DR. MICHAEL MILES ” Practice Location

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