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NPI Code Detail

MEDICARE: DONNA MILLS

MEDICARE: DONNA MILLS
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
1101YP2500XProfessional Counselor178011640IL

General Provider Information

NPI Number : 1881154557
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA MILLS
Provider Business Mailing Address
First Line : 13 FAIRLANE DR
Second Line :
City : JOLIET
State : IL
Zip : 60435-6483
Country : US
Telephone Number : 815-730-8900
Fax Number :
Provider Business Practice Location Address
First Line : 13 FAIRLANE DR
Second Line :
City : JOLIET
State : IL
Zip : 60435-6483
Country : US
Telephone Number : 815-730-8900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2019
Last Update Date : 03/20/2019

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Directions to “ DONNA MILLS ” Practice Location

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