Provider Demographics
NPI:1336724145
Name:WILLIAM P. MCMILLER MD MPH PC
Entity Type:Organization
Organization Name:WILLIAM P. MCMILLER MD MPH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-434-0336
Mailing Address - Street 1:PO BOX 706
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60303-0706
Mailing Address - Country:US
Mailing Address - Phone:708-434-0336
Mailing Address - Fax:
Practice Address - Street 1:4909 W DIVISION ST STE 106A
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60651-3161
Practice Address - Country:US
Practice Address - Phone:708-434-0336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty