Organization Active NPI

Morton Miller, M.D.

  • Internal Medicine Physician
  • Skokie, IL
National Provider Identifier
1629190137
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036038202 Issued in IL
Legal business name
MORTON MILLER, M.D.
Practice address
4350 Golf Rd
Skokie, IL 60076-1480
Phone
(847) 677-1923
NPI assigned
Apr 4, 2007
Last updated
Jul 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Dr. Morton Miller
Title
Medical Director
Phone
(847) 677-1923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036038202 IL Primary

Addresses

Primary practice location

4350 Golf Rd
Skokie, IL 60076-1480

Mailing address

4350 Golf Rd
Skokie, IL 60076-1480
Phone (847) 677-1923

Other identifiers 1

IdentifierTypeStateIssuer
036038202MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1629190137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 GOLF RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761480",
            "telephone_number": "847-677-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 GOLF RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761480",
            "telephone_number": "847-677-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTON MILLER, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MORTON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-677-1923",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036038202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036038202",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.