Jeffrey S Miller, DN

Primary specialty

Legal MedicineTaxonomy code 173000000X

Practice address

707 Lake Cook Rd
Suite 120
Deerfield, IL 60015-5613

Phone

(847) 498-3736

Fax

(847) 509-1589

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Exercise RX, LLC

  • Legal Medicine
  • Deerfield, IL
  • NPI 1568524924
  NPD (past) Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184786535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5979",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600895979",
            "telephone_number": "847-897-5995",
            "fax_number": "847-897-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 LAKE COOK RD",
            "address_2": "SUITE 120",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155613",
            "telephone_number": "847-498-3736",
            "fax_number": "847-509-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "credential": "DN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0004926183",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Andrea C Monek-Head, BEHAVIOR TECHNICIAN

• Legal Medicine in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Legal Medicine in Illinois

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.