Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY MILLER
ActiveMARY MILLER is a Metabolic Nutrition healthcare provider located in GRAYSLAKE, Illinois. NPI 1629169388 is currently active in the NPPES registry. Verify at CMS.
Metabolic Nutrition · GRAYSLAKE, IL
Registration Details
- NPI Number
- 1629169388
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2006 (19.835100306994 yrs)
- Last Updated
- Mar 1, 2017
- License
-
164001864 (IL)
Practice Information
- Address
-
1475 E BELVIDERE RDPAVILION C STE 385GRAYSLAKE, IL, 600302012Browse IL providers · Browse ZIP 60030
- Phone
- 8475357647
- Fax
- 8475357260
- Primary Specialty
-
Metabolic Nutrition
133VN1006X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.