Pamela Lucille Miller

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

PM28900196P Issued in IL

Practice address

245 W Exchange St Ste 4
Sycamore, IL 60178-1495

Phone

(815) 895-9227

Fax

(815) 895-2971

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sycamore Cusd #427

  • Local Education Agency (LEA)
  • Sycamore, IL
  • NPI 1902041585
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871707802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 PROSSER DR",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601781112",
            "telephone_number": "815-895-8071",
            "fax_number": "815-895-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W EXCHANGE ST STE 4",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601781495",
            "telephone_number": "815-895-9227",
            "fax_number": "815-895-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PAMELA",
        "middle_name": "LUCILLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": "PM28900196P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dzejna Mezbur
• MHB Medication Management LLC
• Michele a Jurkovic
• Midwest Orthopaedic Institute P C
• Hannah Elizabeth Miller
• Sean Miller, DPT
• Dennis Misoles
• Jehangir P Mistry, MD
• Erin Mitchell, LCSW
• Kristin A Mock, MD

• Developmental Therapist in Sycamore, IL
• Providers in Sycamore, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.