Active NPI
Terrence Miller
- Chiropractor
- Grayslake, IL
National Provider Identifier
1003920265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-005673
- Practice address
- 242 Center St
Grayslake, IL 60030-1535 - Phone
- (847) 223-4511
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-005673 | IL | Primary |
Addresses
Primary practice location
242 Center St
Grayslake, IL 60030-1535
Mailing address
242 Center St
Grayslake, IL 60030-1535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120802000730 | IL | Practitioner - Chiropractic | 1850547043 | Practice locations: Grayslake, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
242 Ctr St
Grayslake, IL 60030-1535
Phone (847) 223-4511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-005673 | IL | MD | Chiropractor |
Networks
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
- IL HMO C-SNP
- IL PPO Downstate
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003920265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 CENTER ST",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600301535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 CENTER ST",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600301535",
"telephone_number": "847-223-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "TERRENCE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-005673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.