DR. WAIDE LEE MILLER D.C. NPI 1659497790

NPI Information

NPI: 1659497790
Provider Name: DR. WAIDE LEE MILLER, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
61 S OLD RAND RD
SUITE 104
LAKE ZURICH, IL
ZIP 60047
Phone: (847) 540-1439
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DR. Waide Lee Miller, D.C. is a chiropractor in Lake Zurich, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Waide Lee Miller, D.C. NPI is 1659497790. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

61 S OLD RAND RD
SUITE 104
LAKE ZURICH, IL
ZIP 60047-127
Phone: (847) 540-1439
Fax: (847) 540-6407

The enumeration date for this NPI number is 3/21/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	111N00000X	Chiropractor		ILLINOIS	Yes
2	111NN0400X	Chiropractor	Neurology	ILLINOIS	X
3	111NR0400X	Chiropractor	Rehabilitation	ILLINOIS	X
4	111NS0005X	Chiropractor	Sports Physician	ILLINOIS	X
5	111NT0100X	Chiropractor	Thermography	ILLINOIS	X
6	111NX0800X	Chiropractor	Orthopedic	ILLINOIS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	209789	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
2	04932265	OTHER	IDAHO	BLUE CROSS BLUE SHIELD ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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