Charles E Miller MD SC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CHARLES E MILLER MD SC

Practice address

120 Osler Ste 120
Naperville, IL 60540-7429

Phone

(630) 428-2229

NPI assigned

Oct 30, 2024

Last updated

Jul 31, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matt Tyson

Title

Director, Managed Care Contracting

Phone

(615) 477-6677

Specialties & licenses 1

Addresses

Tax ID family

Charles E Miller MD SC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Charles E Miller M D SC

  • Reproductive Endocrinology Physician
  • Naperville, IL
  • NPI 1639203516
  NPD tax ID
• Charles E Miller MD SC

  • Reproductive Endocrinology Physician
  • Naperville, IL
  • NPI 1609900695
  NPD tax ID

Locations

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1932921988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PAM DAVIS DRIVE",
            "address_2": "SUITE 100",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60540",
            "telephone_number": "630-428-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OSLER STE 120",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407429",
            "telephone_number": "630-428-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E MILLER MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "DIRECTOR, MANAGED CARE CONTRACTING",
        "authorized_official_telephone_number": "615-477-6677"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene Sanuade (CS Counseling and Therapy)
• Charlene Thobe Scott (Riverwalk Counseling Center, Inc.)
• Charlene Thobe Scott, Inc. Dba Riverwalk Counseling Center, Inc
• Charles E Miller M D SC
• Charles E Miller MD SC
• Jessica L Charles
• Matthew Todd Charous, M.D.
• Kristine M Chase, PT
• Hunan Ali Chaudhry, M.D.
• Saba Chaudhry, DO

• Clinical Medical Laboratory in Naperville, IL
• Providers in Naperville, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.