Active NPI
Michael Miller
- Technician
- Blue Island, IL
National Provider Identifier
1629610902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician
- Practice address
- 12554 Fairview Ave Apt 1F
Blue Island, IL 60406-1781 - Phone
- (708) 921-4135
- NPI assigned
- Oct 8, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician | 374700000X | Primary |
Addresses
Primary practice location
12554 Fairview Ave Apt 1F
Blue Island, IL 60406-1781
Mailing address
12554 Fairview Ave Apt 1F
Blue Island, IL 60406-1781
Phone (708) 921-4135
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.anrconsult2.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570492800000",
"number": "1629610902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12554 FAIRVIEW AVE APT 1F",
"city": "BLUE ISLAND",
"state": "IL",
"postal_code": "604061781",
"telephone_number": "708-921-4135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12554 FAIRVIEW AVE APT 1F",
"city": "BLUE ISLAND",
"state": "IL",
"postal_code": "604061781",
"telephone_number": "708-921-4135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-08",
"last_updated": "2019-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.anrconsult2.com",
"affiliation": "N",
"endpointDescription": "WebSite",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "12554 Fairview Ave Apt 1F",
"city": "Blue Island",
"state": "IL",
"country_code": "US",
"postal_code": "604061781",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Blue Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.