Provider Demographics
NPI:1093729154
Name:MILLS, AMBER ELIZABETH (DC)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:ELIZABETH
Last Name:MILLS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2116 W NORTH AVE
Mailing Address - Street 2:UNIT: 3N
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-5433
Mailing Address - Country:US
Mailing Address - Phone:773-577-3274
Mailing Address - Fax:
Practice Address - Street 1:3322 N ASHLAND AVE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-2109
Practice Address - Country:US
Practice Address - Phone:773-281-8177
Practice Address - Fax:773-990-9124
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor