| Dr Alban Ingram Miller Jr, | |
|
1708 Foxborough Ct, Champaign, IL 61822-8503 | |
| (217) 369-9395 | |
| (217) 369-9395 |
| Full Name | Dr Alban Ingram Miller Jr |
|---|---|
| Gender | Male |
| Speciality | Surgery - Plastic And Reconstructive Surgery |
| Location | 1708 Foxborough Ct, Champaign, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750892923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 036.079126 (Illinois) | Primary |
| Entity Name | Ameriwound Physicians Il Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104245893 PECOS PAC ID: 2860616299 Enrollment ID: O20140605000079 |
| Entity Name | Renew Wound Care Of Illinois Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578146882 PECOS PAC ID: 7315356219 Enrollment ID: O20210505002138 |
| Entity Name | Skyline Wound Care Midwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295445179 PECOS PAC ID: 1658738281 Enrollment ID: O20230613000812 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alban Ingram Miller Jr, 1708 Foxborough Ct, Champaign, IL 61822-8503 Ph: (217) 369-9395 | Dr Alban Ingram Miller Jr, 1708 Foxborough Ct, Champaign, IL 61822-8503 Ph: (217) 369-9395 |
Donna L Decamara, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1702 S Mattis Ave, Champaign, IL 61821 Phone: 217-326-2000 | |
Dr. Harry Reed Thompson Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 413 E University Ave, Champaign, IL 61820 Phone: 217-359-9601 Fax: 217-359-9609 | |
Dr. Paul Wetstein, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3105 Fields South Dr, Champaign, IL 61822 Phone: 217-383-3240 | |
Dr. Nirmal Gokarn, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3101 Fields South Dr, Champaign, IL 61822 Phone: 217-366-1228 Fax: 718-798-0730 | |
Mattie Arseneaux, Surgery Medicare: Accepting Medicare Assignments Practice Location: 3105 Fields South Dr, Champaign, IL 61822 Phone: 217-383-3240 | |
Roxanne Gillian Mcmillan, D.O Surgery Medicare: Accepting Medicare Assignments Practice Location: 3105 Fields South Dr, Champaign, IL 61822 Phone: 217-383-3240 | |
Daniel Suarez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3105 Fields South Dr, Champaign, IL 61822 Phone: 217-902-2100 |