Gail D. Miller MDSC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036-056923 Issued in IL

Legal business name

GAIL D. MILLER MDSC

Practice address

9944 - S. Roberts Road
Ste 107
Palos Hills, IL 60465-1555

Phone

(708) 430-2020

Fax

(708) 430-2142

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gail D Miller, MDNPI 1770502494

Title

President

Phone

(708) 430-2020

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gail D Miller, MD

  • Obstetrics & Gynecology Physician
  • Palos Hills, IL
  • NPI 1770502494
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1326265976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9944 - S. ROBERTS ROAD",
            "address_2": "STE 107",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651555",
            "telephone_number": "708-430-2020",
            "fax_number": "708-430-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9944 - S. ROBERTS ROAD",
            "address_2": "STE 107",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651555",
            "telephone_number": "708-430-2020",
            "fax_number": "708-430-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIL D. MILLER MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-430-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "0360562923",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-056923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036056923",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001651212",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Palos Hills, IL
• Providers in Palos Hills, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.