Deanne Lee Miller, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036-116732 Issued in IL

Practice address

2410 Alft LN Ste 100
Elgin, IL 60124-8090

Phone

(847) 531-4883

Fax

(847) 478-3229

NPI assigned

Feb 28, 2007

Last updated

May 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lurie Children's Medical Group Inc

  dba LCMG Inc

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1518064716
  Medicare reassignment NPD
• Thrive Pediatrics, LLC

  • Pediatrics Physician
  • Geneva, IL
  • NPI 1124952684
  NPD Authorized official
• Thrive Pediatrics, LLC

  • Pediatrics Physician
  • Elgin, IL
  • NPI 1972199479
  Authorized official Same address or phone

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1972630796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 ALFT LN STE 100",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601248090",
            "telephone_number": "847-531-4883",
            "fax_number": "847-478-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 ALFT LN STE 100",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601248090",
            "telephone_number": "847-531-4883",
            "fax_number": "847-478-3229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 East Chicago Avenue",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60611",
            "country_code": "US",
            "telephone_number": "773-880-3568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DEANNE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036116732",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-116732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.thrive-peds.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2410 Alft Ln Ste 100",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601248090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Raymond Mikula, LCPC
• Christopher J Milburn, LPC
• Marlena Milkowska
• Victoria Millar, LSW
• Millennium Home Health Care Inc
• Jennifer Miller, PT
• Katelyn Miller, OT
• Kierra Regene Miller
• Mark Allen Miller, MHP
• Matthias N Miller

• Pediatrics Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.