MARY MILLER (NPI# 1629169388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629169388 |
| Entity Type | Individual |
| Full Name | MARY MILLER |
| Practice Address |
1475 E Belvidere Rd Pavilion C Ste 385 Grayslake IL 60030-2012 |
| Mailing Address |
680 N Lake Shore Dr Suite 1000 Chicago IL 60611-4546 |
| Practice Telephone | 8475357647 |
| Practice Fax Number | 8475357260 |
| Mailing Telephone | 3126959797 |
| Mailing Fax Number | 8475357260 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2017-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
164001864 | IL | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861453 | Mary Diane Miller | In Home Supportive Care | 16850 Highland Ave, Caldwell, OH 43724-9655 | 2020-11-06 |
| 1093322166 | Mary Miller | Student in an Organized Health Care Education/Training Program | 27 Hurd Rd, Brookline, MA 02445-6911 | 2020-09-23 |
| 1396377123 | Mary Angela Miller | Dietitian, Registered | 560 Jacob Close, Gahanna, OH 43230-2884 | 2020-02-10 |
| 1063050516 | Mary Ann Miller | Assisted Living Facility | 4519 W Amanda Dr, Wasilla, AK 99623-1046 | 2019-12-16 |
| 1215585070 | Mary Mccall Miller | Technician | 9436 Sacramento Dr, New Port Richey, FL 34655-1619 | 2019-08-26 |
| 1467932186 | Mary Miller | Licensed Vocational Nurse | 1035 Fm 971, Georgetown, TX 78626-4520 | 2018-08-21 |
| 1467943019 | Mary Laborde Miller | Dentist | 2425 33rd Ave W, Seattle, WA 98199-3255 | 2018-05-18 |
| 1225540578 | Mary Katherine Miller | Registered Nurse | 100 Ucla Medical Plz Ste 730, Los Angeles, CA 90024-6995 | 2017-10-26 |
| 1306384466 | Mary Miller | Speech-Language Pathologist | 1585 Wedgewood Dr, Piqua, OH 45356-8592 | 2017-02-08 |
| 1437529518 | Mary Ellen Miller | Dietitian, Registered | 6505 Robbie Creek Cv, Austin, TX 78750-8130 | 2015-10-01 |
| Street Address |
1475 E BELVIDERE RD PAVILION C STE 385 |
| City | GRAYSLAKE |
| State | IL |
| Zip Code | 60030-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215934211 | Kimberly A Forsey | Pediatrics | 1475 E Belvidere Rd, Suite 315, Grayslake, IL 60030-2012 | 2005-07-05 |
| 1669095089 | Noelle Mack | Social Worker | 1475 E Belvidere Rd, Grayslake, IL 60030-2012 | 2020-05-20 |
| 1336600543 | Ryan Mccabe | Family Medicine | 1475 E Belvidere Rd, Grayslake, IL 60030-2012 | 2019-03-29 |
| 1942760012 | Temiwumi Ojo | Student in an Organized Health Care Education/Training Program | 1475 E Belvidere Rd, Grayslake, IL 60030-2012 | 2019-03-23 |
| 1851851927 | Joyce Marie Jones-king | Family Medicine | 1475 E Belvidere Rd, Grayslake, IL 60030-2012 | 2019-03-23 |
| 1821558990 | Zahra Qasem | Family Medicine | 1475 E Belvidere Rd, Grayslake, IL 60030-2012 | 2019-03-23 |
| 1013477751 | Elizabeth M Payment | Student in an Organized Health Care Education/Training Program | 1475 E Belvidere Rd, Grayslake, IL 60030-2012 | 2019-03-20 |
| 1720548472 | Laura Zhang | Family Medicine | 1475 E Belvidere Rd, Grayslake, IL 60030-2012 | 2019-03-20 |
| 1437619152 | Clare Dunstan Brady | Student in an Organized Health Care Education/Training Program | 1475 E Belvidere Rd, Grayslake, IL 60030-2012 | 2019-03-20 |
| 1396204525 | Christopher Michael Rivard | Family Medicine | 1475 E Belvidere Rd, Suite 385, Grayslake, IL 60030-2012 | 2019-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393781 | Camelot Care Centers, LLC | Clinic/Center | 34121 North Route 45 Suite 207, Grayslake, IL 60030 | 2020-10-13 |
| 1992347892 | Pier London | Social Worker | 18640 Belivdere Rd., Grayslake, IL 60030 | 2019-10-11 |
| 1972156529 | Elizabeth Reeve | Counselor | 18640 Belvidere, Grayslake, IL 60030 | 2019-07-23 |
| 1144725987 | Michael Kraft | Family Medicine | 1475 E. Belvidere Road, Suite 385, Grayslake, IL 60030 | 2018-03-26 |
| 1255850780 | Megan B March | Speech-Language Pathologist | 33089 N Battershall Rd, Grayslake, IL 60030 | 2017-09-15 |
| 1669992665 | Easy Oxygen Inc. | Durable Medical Equipment & Medical Supplies | 1862 E Belvidere Road #125, Grayslake, IL 60030 | 2017-06-21 |
| 1184163628 | Surprenant Chiropractic LLC | Clinic/Center | 1227 N Illinois Route 83, Suite A, Grayslake, IL 60030 | 2017-02-16 |
| 1700230976 | Camelot Care Centers, LLC. | Foster Care Agency | 34121 North Route 45, Suite 207, Grayslake, IL 60030 | 2016-04-14 |
| 1932560414 | Vital Therapeutics Inc | Physical Therapist | 34121 N Us 45, Suite 101, Grayslake, IL 60030 | 2016-03-11 |
| 1093175804 | Zigma Visiting Physician, LLC | General Practice | 4 N Deer Point Dr, 1002, Hainesville, IL 60030 | 2016-03-07 |
| Find all providers in zip 60030 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228456 | The Angelo Method Tam LLC | Dietitian, Registered | 5440 N Cumberland Ave Ste 225, Chicago, IL 60656-1531 | 2019-01-02 |
| 1568893535 | Jason Caraballo | Dietitian, Registered | 1002 Monticello Dr, Aurora, IL 60506-5740 | 2013-12-02 |
| 1073847539 | Luz Adriana Sancen De Brown | Dietitian, Registered | 2009 Elm St, Quincy, IL 62301-3233 | 2009-09-30 |
| 1922238989 | Siu Mui Carman Cheng | Dietitian, Registered | 2850 S Michigan Ave, Chicago, IL 60616-5018 | 2009-07-23 |
| 1457506214 | Corporate Wellness Inc | Dietitian, Registered | 2272 W 95th St Ste 305, Naperville, IL 60564-8944 | 2008-11-20 |
| 1629227913 | Harriet Shelley Salzberg | Dietitian, Registered | 276 Chicory Ln, Buffalo Grove, IL 60089-1835 | 2008-09-11 |
| 1053456384 | Susan Kagen Podell | Dietitian, Registered | 560 N Midlothian Rd, Suite 400, Mundelein, IL 60060-1654 | 2007-02-21 |
| 1992299788 | Walsh Nutrition Group, Inc. | Dietitian, Registered | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | 2018-06-15 |
| 1639663412 | Laura Walsh | Dietitian, Registered | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | 2018-06-15 |
| 1477045763 | Andrea Williams | Dietitian, Registered | 800 E 55th St, Chicago, IL 60615-4906 | 2018-06-01 |
| Find all providers with the same taxonomy | ||||
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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.