Active NPI
Kristin Lucille Miller, M.D.
- Vascular Neurology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- 036149113
- Practice address
- 259 E Erie St Ste 1900
Chicago, IL 60611-3246 - Phone
- (312) 695-7950
- Fax
- (312) 695-5747
- NPI assigned
- Jun 16, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 4301114314 | MI | |
| Vascular Neurology Physician | 2084V0102X | 036149113 | IL | Primary |
| Neurology Physician | 2084N0400X | 036.149113 | IL |
Addresses
Primary practice location
259 E Erie St Ste 1900
Chicago, IL 60611-3246
Mailing address
259 E Erie St Ste 1900
Chicago, IL 60611-3246
Phone (312) 695-7950
Other practice location 1
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- George Washington University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
259 E Erie St
Suite 1900
Chicago, IL 60611-3246
Phone (312) 695-7950
Hospital & facility affiliations
- Northwestern Memorial Hospital
- Northwestern Medicine Central Dupage Hospital
- Northwestern Lake Forest Hospital
- Palos Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.149113 | IL | MD | Neurology Physician |
| 4301114314 | MI | MD | Neurology Physician |
| 036149113 | IL | MD | Vascular Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Neurology | Current | Accepting new patients |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Regents of the University of Michigan | Neurology | Current | Accepting new patients |
| Central Dupage Physician Group | Past | Accepting new patients |
Locations
Carol Stream, IL 60122
Phone (630) 933-3300
Dept 5777
Carol Stream, IL 60122
259 E Erie St
Ste 1900
Chicago, IL 60611
1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000
912 S Wood St
Chicago, IL 60612
Phone (312) 996-2200
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
912 S Wood St
#855N
Chicago, IL 60612
2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Neurology Physician
- Chicago, IL
- NPI 1982824660
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1205868353
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Neurology Physician
- Ann Arbor, MI
- NPI 1053343004
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497859649
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1467866723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 E ERIE ST STE 1900",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113246",
"telephone_number": "312-695-7950",
"fax_number": "312-695-5747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 E ERIE ST STE 1900",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113246",
"telephone_number": "312-695-7950",
"fax_number": "312-695-5747"
}
],
"practiceLocations": [
{
"address_1": "1500 E Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481095000",
"country_code": "US",
"telephone_number": "734-936-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "KRISTIN",
"middle_name": "LUCILLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-16",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "4301114314",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "IL",
"license": "036149113",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036.149113",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.