Virgil Henry Miller III, D.C.,LAC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-008954 Issued in IL

Practice address

1225 W Lakeview CT
Romeoville, IL 60446-6501

Phone

(630) 226-5660

Fax

(630) 226-6998

NPI assigned

Aug 10, 2006

Last updated

Aug 19, 2020By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rose Fitness & Wellness, Inc.

  • Chiropractor
  • Romeoville, IL
  • NPI 1558550970
  Medicare reassignment NPD

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1427069335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 FIRETHORN ST",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604902001",
            "telephone_number": "630-378-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W LAKEVIEW CT",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604466501",
            "telephone_number": "630-226-5660",
            "fax_number": "630-226-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "VIRGIL",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.,LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00132925",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02232061",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellie Menter, PHD, LCP, NCSP
• Monica Metry
• Neela Mhatre
• Viktoria Mileva, RN BSN
• Mary E Miller, L.S.W.
• Debbie Ann Miranda, BCBA
• Nicolette Rose Mireles, LCPC
• Jayme Mitchell, PA-C
• Wimol Ann Mitrakul, MD
• Rima Modi, DMD

• Chiropractor in Romeoville, IL
• Providers in Romeoville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.