MEDICARE: JANET MILLER PT

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
1	225100000X	Physical Therapist		IL

General Provider Information

NPI Number	:	1992761738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET MILLER PT

Provider Business Mailing Address
First Line	:	7414 N FAIRFIELD AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-1315
Country	:	US
Telephone Number	:	773-774-8414
Fax Number	:	773-774-8414

Provider Business Practice Location Address
First Line	:	7414 N FAIRFIELD AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-1315
Country	:	US
Telephone Number	:	773-774-8414
Fax Number	:	773-774-8414

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2006
Last Update Date	:	09/06/2007

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Directions to “ JANET MILLER PT” Practice Location

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