Search › Illinois › 363LF0000X
Micky Miller
NPI 1437087319 · on the registry since 2026
Practice
- Address
- 1501 W Bradley Ave
Peoria, IL 61625 - Phone
- (309) 676-7611
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-12
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