NPIMap

Organization Active NPI

Kimberly Battle-Miller, MD, SC

  • Specialist
  • Orland Park, IL
National Provider Identifier
1669489712
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KIMBERLY BATTLE-MILLER, MD, SC
Practice address
15774 S la Grange Rd
#229
Orland Park, IL 60462-4766
Phone
(773) 767-3822
Fax
(773) 767-3944
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kimberly Battle-Miller, MD
Title
Owner
Phone
(708) 932-9351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X IL Primary

Addresses

Primary practice location

15774 S la Grange Rd
#229
Orland Park, IL 60462-4766

Mailing address

15774 S la Grange Rd
#229
Orland Park, IL 60462-4766
Phone (773) 767-3822

Other identifiers 1

IdentifierTypeStateIssuer
01635624OtherILBC/BS PROVIDER #

National Provider Directory

National Provider Directory

Locations

15774 S La Grange Rd
#229
Orland Park, IL 60462

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669489712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15774 S LA GRANGE RD",
            "address_2": "#229",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624766",
            "telephone_number": "773-767-3822",
            "fax_number": "773-767-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15774 S LA GRANGE RD",
            "address_2": "#229",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624766",
            "telephone_number": "773-767-3822",
            "fax_number": "773-767-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY BATTLE-MILLER, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BATTLE-MILLER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-932-9351",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER #",
            "identifier": "01635624",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.