| Michael Miller, | |
|
1801 S Highland Ave Ste 130, Lombard, IL 60148-4932 | |
| (630) 627-4722 | |
| Not Available |
| Full Name | Michael Miller |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 1801 S Highland Ave Ste 130, Lombard, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255421558 | NPI | - | NPPES |
| 036095904 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-095904 (Illinois) | Primary |
| 208000000X | Pediatrics | 036-095904 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Proctor Hospital | Peoria, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Methodist Medical Center Of Illinois | 1355259714 | 283 |
| 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 |
| Entity Name | Proctor Health Systems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Miller, 1860 Paysphere Cir, Chicago, IL 60674-0001 Ph: () - | Michael Miller, 1801 S Highland Ave Ste 130, Lombard, IL 60148-4932 Ph: (630) 627-4722 |
Dr. Diane Gale Rapaport, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 580 Waters Edge, Suite 100, Lombard, IL 60148 Phone: 630-495-8484 Fax: 630-495-1598 | |
William T O'rourke, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 454 E Roosevelt Rd, Lombard, IL 60148 Phone: 630-387-6424 Fax: 630-387-6425 | |
Rong Shang Tu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2340 S Highland Ave, 230, Lombard, IL 60148 Phone: 630-932-2040 Fax: 866-932-1513 | |
Dhara Naik, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 454 E Roosevelt Rd, Lombard, IL 60148 Phone: 630-387-6424 Fax: 630-387-6425 | |
Dr. Nasser A Boshra, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 S Highland Ave Ste 130, Lombard, IL 60148 Phone: 630-627-4722 Fax: 630-627-9134 | |
Elaine E Spirakes, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 454 E Roosevelt Rd, Lombard, IL 60148 Phone: 630-387-6424 Fax: 630-387-6425 | |
Shawn George, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 E. 22nd Street, Suite A, Lombard, IL 60148 Phone: 630-932-2055 Fax: 630-932-2059 |