Provider Demographics
NPI:1053392589
Name:MILLER, DEBORAH ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:ELIZABETH
Last Name:MILLER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2050 PFINGSTEN RD STE 200
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-1373
Mailing Address - Country:US
Mailing Address - Phone:847-657-1820
Mailing Address - Fax:847-657-1823
Practice Address - Street 1:2050 PFINGSTEN RD STE 200
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026
Practice Address - Country:US
Practice Address - Phone:847-657-1820
Practice Address - Fax:847-657-1823
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2021-02-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036127058207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0944670Medicaid
OH0944670Medicaid
F77867Medicare UPIN