Search › Illinois › 363AM0700X
Richard Miller, PA-C
NPI 1508998105 · on the registry since 2007
Practice
- Address
- 7301 N Knoxville Ave
Peoria, IL 61614 - Phone
- (309) 589-5900
- Fax
- (309) 689-0312
- Organisation at this address
- Facial Plastic & Laser Surgery
Peoria Ear Nose And Throat Group ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-21
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