Provider Demographics
NPI:1003180910
Name:MILLER, STEPHANIE E (MGC, CGC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:E
Last Name:MILLER
Suffix:
Gender:F
Credentials:MGC, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2910 MACARTHUR BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-2005
Mailing Address - Country:US
Mailing Address - Phone:847-400-1515
Mailing Address - Fax:847-400-1516
Practice Address - Street 1:2910 MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-2005
Practice Address - Country:US
Practice Address - Phone:847-400-1515
Practice Address - Fax:847-400-1516
Is Sole Proprietor?:No
Enumeration Date:2012-02-24
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS