Mary O'Halloran Miller

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

MM73181199P Issued in IL

Practice address

579 Chicago Ave
Highland Park, IL 60035-1919

Phone

(847) 293-9763

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376664896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 CHICAGO AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600351919",
            "telephone_number": "847-293-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 CHICAGO AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600351919",
            "telephone_number": "847-293-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARY",
        "middle_name": "O'HALLORAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": "MM73181199P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael P. Bert, O.D. P.C.
• Michael R Binder
• Michelle a Field MD SC
• Mickow Ce Physical Therapy, LLC
• Andrzej J. Miga, M.D.
• Deborah S. Milling, M.A.
• Mindfully Well PLLC
• Minx Wellness, PC
• Sanhareeb Kaena Minyanish
• Kristin Miranda

• Developmental Therapist in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Developmental Therapist 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.