SearchIllinois133V00000X

Stacie Miller

NPI 1295426310 · on the registry since 2023 · sole proprietor

Practice

Address
17715 Harwood Ave
Homewood, IL 60430
Phone
(708) 306-1122

Registry record

Primary taxonomy
133V00000X
133V00000X
Also registered as
133V00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-05-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois