Active NPI
Samuel Kirk Mills
- Specialist
- Woodridge, IL
National Provider Identifier
1295035608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 7725 Woodward Ave
1A
Woodridge, IL 60517-3123 - Phone
- (630) 774-8310
- NPI assigned
- Nov 1, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary | ||
| Research Study Specialist | 1744R1102X | |||
| Religious Nonmedical Practitioner | 374K00000X |
Addresses
Primary practice location
7725 Woodward Ave
1A
Woodridge, IL 60517-3123
Mailing address
7725 Woodward Ave
1A
Woodridge, IL 60517-3123
Phone (630) 774-8310
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288569600000",
"number": "1295035608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7725 WOODWARD AVE",
"address_2": "1A",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605173123",
"telephone_number": "630-774-8310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7725 WOODWARD AVE",
"address_2": "1A",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605173123",
"telephone_number": "630-774-8310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "SAMUEL",
"middle_name": "KIRK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-01",
"last_updated": "2010-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "1744R1102X",
"taxonomy_group": "",
"desc": "Specialist, Research Study",
"state": null,
"license": null,
"primary": false
},
{
"code": "374K00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.