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NPI Code Detail

MEDICARE: DR. JESSICA MILLER DVM

MEDICARE:  DR. JESSICA  MILLER  DVM
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
1174M00000XVeterinarian090.009726IL

General Provider Information

NPI Number : 1700170727
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA MILLER DVM
Provider Business Mailing Address
First Line : 2319 N DAMEN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-3321
Country : US
Telephone Number : 312-848-1767
Fax Number : 773-904-8096
Provider Business Practice Location Address
First Line : 2319 N DAMEN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-3321
Country : US
Telephone Number : 312-848-1767
Fax Number : 773-904-8096
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2011
Last Update Date : 06/07/2011

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Directions to “ DR. JESSICA MILLER DVM” Practice Location

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