Provider Demographics
NPI:1235273814
Name:MILLER, JOSHUA BAILEY (DO)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:BAILEY
Last Name:MILLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1340 S DAMEN AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608-1169
Mailing Address - Country:US
Mailing Address - Phone:773-292-4800
Mailing Address - Fax:312-564-4059
Practice Address - Street 1:2 CHASE CORPORATE DR
Practice Address - Street 2:SUITE 300
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-1016
Practice Address - Country:US
Practice Address - Phone:773-292-4800
Practice Address - Fax:312-564-4059
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2016-08-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ALDO-916207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine