Active NPI
Charles Edward Miller, M.D.
- Obstetrics & Gynecology Physician
- Naperville, IL
National Provider Identifier
1114010097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036066686
- Practice address
- 120 Pam Davis Drive
Suite 100
Naperville, IL 60540-7429 - Phone
- (630) 428-2229
- Fax
- (630) 428-0336
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 036066686 | IL | |
| Obstetrics & Gynecology Physician | 207V00000X | 036066686 | IL | Primary |
Addresses
Primary practice location
120 Pam Davis Drive
Suite 100
Naperville, IL 60540-7429
Mailing address
120 Pam Davis Drive
Suite 100
Naperville, IL 60540-7429
Phone (630) 428-2229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2233275 | Other | IL | BCBS OF IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036066686 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Charles E Miller M D SC | Reproductive Endocrinology | Past | Accepting new patients |
Interoperability endpoints
- cmiller252019@direct.myadvocateaurora.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Reproductive Endocrinology Physician
- Naperville, IL
- NPI 1639203516
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771545600000",
"number": "1114010097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 PAM DAVIS DRIVE",
"address_2": "SUITE 100",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605407429",
"telephone_number": "630-428-2229",
"fax_number": "630-428-0336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 PAM DAVIS DRIVE",
"address_2": "SUITE 100",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605407429",
"telephone_number": "630-428-2229",
"fax_number": "630-428-0336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CHARLES",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "IL",
"license": "036066686",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036066686",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IL",
"identifier": "2233275",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.