Search › Illinois › 374J00000X
De'Andre Miller, CD,CHW
NPI 1639989700 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1918 Jersey St
Alton, IL 62002 - Phone
- (618) 606-3748
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Also registered as
- 251S00000X
- Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-10
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