| Glenn Miller, MD | |
|
815 Main St, Peoria, IL 61602-1076 | |
| (309) 672-4977 | |
| Not Available |
| Full Name | Glenn Miller |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 815 Main St, Peoria, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407862022 | NPI | - | NPPES |
| 028606 | Other | IL | HEALTH ALLIANCE |
| 0360696082 | Medicaid | IL | |
| 472301 | Other | IL | HEALTHLINK |
| 7215059 | Other | IL | BCBS PPO |
| IL01N2 | Other | IL | JOHN DEERE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn Miller, MD 5100 Reliable Pkwy, Chicago, IL 60686-0001 Ph: (309) 672-4809 | Glenn Miller, MD 815 Main St, Peoria, IL 61602-1076 Ph: (309) 672-4977 |
Sarah R Koscica, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1701 W Garden St, Peoria, IL 61605 Phone: 309-680-7600 Fax: 309-680-7686 | |
Karen Cadet-saintilus, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5111 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-5700 Fax: 309-683-5752 | |
Iram Yunus, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 815 Main St Ste A, Peoria, IL 61602 Phone: 309-672-4977 Fax: 309-672-2580 | |
Melanie Andrews, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 5901 N Prospect Rd Ste 101b, Peoria, IL 61614 Phone: 309-740-4232 | |
Gregory T Moskop, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5111 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-5700 Fax: 309-683-5752 | |
Mrs. Vanessa Lauren Roof, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 5600 N Glen Elm Dr, Peoria, IL 61614 Phone: 844-341-2339 | |
Ms. Aneta Monika Kowalska, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3915 Barring Trce, Peoria, IL 61615 Phone: 309-689-3030 |