MISS JEAN F MILLER (NPI# 1497763429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497763429 |
| Entity Type | Individual |
| Full Name | MISS JEAN F MILLER |
| Credential | MD |
| Practice Address |
1200 N East St Olney IL 62450-2499 |
| Mailing Address |
1200 N East St Weber Medical Clinic Ltd Olney IL 62450-2499 |
| Practice Telephone | 6183955222 |
| Practice Fax Number | 6183958552 |
| Mailing Telephone | 6183955222 |
| Mailing Fax Number | 6183958552 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | HEALTH ALLIANCE | 067209 | 01 |
| IL | HEALTHLINK | 119391 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700290749 | Jean Margaret Miller | Counselor | 400 W 25th St, Vancouver, WA 98660-2548 | 2014-06-18 |
| 1780006643 | Jean Miller | Nurse Practitioner | 955 Mulford St, Evanston, IL 60202-3314 | 2014-01-13 |
| 1851649891 | Jean D Miller | Registered Nurse | 367 Cadillac Ave, Rochester, NY 14606-3707 | 2012-08-23 |
| 1184899098 | Jean L Miller | Foster Care Agency | 2512 Treymore Dr, Orlando, FL 32825-7543 | 2008-04-23 |
| 1023234523 | Jean C. Hall Miller | Physical Therapist | 526 Whitford Hills Rd, Exton, PA 19341-2047 | 2007-04-17 |
| 1790383248 | Jean Miller | Nurse Practitioner | 751 E 81st Ave, Merrillville, IN 46410-5538 | 2020-10-15 |
| 1619527165 | Jean Anne Miller | Technician | 127 Bahia Ln, Escondido, CA 92026-2079 | 2019-09-17 |
| 1750518247 | Jean Miller | Family Medicine | 1122 S Ironwood Dr, South Bend, IN 46615-1618 | 2009-06-11 |
| 1790946820 | Jean Smith Miller | Physical Therapist | 5372b Old Virginia Street, Urbanna, VA 23175 | 2008-06-20 |
| 1356516496 | Jean Miller | Dentist | 810 Saint John Pl, Suite C, Hemet, CA 92543-4414 | 2008-04-29 |
| Street Address |
1200 N EAST ST |
| City | OLNEY |
| State | IL |
| Zip Code | 62450-2499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548269384 | Cecilia Howell-canada | Pediatrics | 1200 N East St, Olney, IL 62450-2432 | 2005-07-14 |
| 1578108387 | Kelcey A Semple | Pharmacist | 1200 N East St, Olney, IL 62450-2432 | 2019-11-15 |
| 1427606920 | Destiny R Dannells | Nurse Practitioner | 1200 N East St, Olney, IL 62450-2432 | 2019-08-28 |
| 1932684313 | Kylie L Garbe | Nurse Practitioner | 1200 N East St, Olney, IL 62450 | 2018-10-01 |
| 1649754474 | Amanda Dillon | Family Medicine | 1200 N East St, Olney, IL 62450-2432 | 2018-09-18 |
| 1548741960 | Stephanie Joann Greenwood | Counselor | 1200 N East St, Olney, IL 62450-2432 | 2018-08-23 |
| 1659857886 | Josette Jovero-clodfelter | Family Medicine | 1200 N East St, Olney, IL 62450-2432 | 2018-07-11 |
| 1609385269 | Coles County Mental Health Association Inc | Community/Behavioral Health | 1200 N East St, Olney, IL 62450-2432 | 2017-09-27 |
| 1609314194 | Mackenzie Zuber | Nurse Practitioner | 1200 N East St, Olney, IL 62450-2432 | 2017-02-06 |
| 1306397542 | Trenton Clapp | Physician Assistant | 1200 N East St, Olney, IL 62450-2432 | 2016-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851530091 | Donna Harris | Counselor | 515 West St. John Street, Olney, IL 62450 | 2009-02-11 |
| 1942476908 | Christa Dawn Jennette | Private Vehicle | 1113 Keiffer Dr, Olney, IL 62450 | 2008-04-30 |
| 1942491162 | Marion County Horizon Center D/b/a Richland Manor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1066 West Main St, Olney, IL 62450 | 2007-08-05 |
| 1811100407 | Advanced Open Mri, Inc. | Clinic/Center | 605 East Main Street, Olney, IL 62450 | 2007-05-08 |
| 1548489958 | Frank Edward Gruber | Dentist | 1108 N East St, Olney, IL 62450 | 2007-04-24 |
| 1508084591 | Melvin Borja Escalona | Physical Therapist | 800 East Locust St., Olney, IL 62450 | 2007-04-23 |
| 1881769826 | Jeffrey Alan Kocher | Chiropractor | 731 S West St, Olney, IL 62450 | 2006-11-22 |
| 1336211523 | Patricia Lynn Kessler Bookhout | Dentist | 1104 North East, Olney, IL 62450 | 2006-11-14 |
| 1639159015 | Bowers Drug Store Inc | Pharmacy | 205 E Main, Olney, IL 62450 | 2006-01-20 |
| 1336137199 | South Eastern Illinois Counseling Center Inc | Counselor | 504 Micah Drive, Drawer M, Olney, IL 62450 | 2005-10-06 |
| Find all providers in zip 62450 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033368253 | Basil Duncan Cutlip | Dermatology | 17604 Prince Edward Dr, Olney, MD 20832-2141 | 2008-09-11 |
| 1710131651 | Paula E Bourelly Md Associates LLC | Dermatology | 18111 Prince Philip Dr, Suite 123, Olney, MD 20832-1513 | 2008-11-05 |
| 1710157086 | Paula E Bourelly Md & Assoc | Dermatology | 18111 Prince Philip Dr, Suite123, Olney, MD 20832-1513 | 2008-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1063030252 | Vitalskin Medical Group Il Pllc | Dermatology | 1111 W Kenyon Rd, Urbana, IL 61801-1010 | 2020-07-14 |
| 1447873831 | Derick Dermatology, LLC | Dermatology | 5250 Old Orchard Rd Ste 110, Skokie, IL 60077-4461 | 2020-05-20 |
| 1346869393 | Julia Katsnelson Md Sc | Dermatology | 231 Olde Half Day Rd, Lincolnshire, IL 60069-2906 | 2020-04-10 |
| 1114551983 | Katherine Janezic | Dermatology | 7447 W Talcott Ave Ste 425, Chicago, IL 60631-3704 | 2020-03-02 |
| 1013559400 | Orsini Surgical Dermatology Sc | Dermatology | 1519 Legacy Cir, Naperville, IL 60563-3161 | 2019-10-17 |
| 1124675244 | Kiracofe Md Medical, LLC | Dermatology | 719 South Blvd # 2903, Oak Park, IL 60302-2903 | 2019-08-22 |
| 1366009664 | Derick Dermatology | Dermatology | 1900 Spring Rd Ste 210, Oak Brook, IL 60523-9063 | 2019-05-22 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1891257853 | Maria Estela Martinez Escala | Dermatology | 5841 S Maryland Ave Ste Mc5067, Chicago, IL 60637-1443 | 2019-04-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.