Individual provider Active NPI

Elizabeth Erker Miller, ATC

  • Athletic Trainer
  • Grayslake, IL
National Provider Identifier
1134607989
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
997 N Corporate Cir Ste B
Grayslake, IL 60030-7822
Phone
(847) 223-8001
NPI assigned
Aug 3, 2018
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Athletic Trainer 2255A2300X Primary

Addresses

Primary practice location

997 N Corporate Cir Ste B
Grayslake, IL 60030-7822

Mailing address

997 N Corporate Cir Ste B
Grayslake, IL 60030-7822

Other practice location 1

900 N John R Wooden Dr
West Lafayette, IN 47907-2117
Phone (765) 496-0502

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caitlin Chandran MSN, Aprn-Fpa, FNP-BC PLLC CurrentSince Jan 7, 2024 Accepting new patients
Grayslake Rehabilitation and Complete Physical Therapy LLC CurrentSince Jan 7, 2024 Accepting new patients

Locations

997 N Corporate Cir
Ste B
Grayslake, IL 60030
Phone (847) 223-8001

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1134607989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 N CORPORATE CIR STE B",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 N CORPORATE CIR STE B",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307822",
            "telephone_number": "847-223-8001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 N John R Wooden Dr",
            "address_purpose": "LOCATION",
            "city": "West Lafayette",
            "state": "IN",
            "postal_code": "479072117",
            "country_code": "US",
            "telephone_number": "765-496-0502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ELIZABETH",
        "middle_name": "ERKER",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "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 Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.