Most Relevant Information
Provider Data
| NPI Number: | 1003043092 |
| Provider Name: | NATHAN GLEN MILLER DC |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 038011338 |
Most Important Dates
| Enumeration Date: | 06/17/2009 |
| Last Updated: | 05/10/2010 |
Provider Practice Location
400 W LAKE ST STE 216
ROSELLE
IL
601723572
Practice Location Phone/Fax
| Phone: | 6302789118 |
| Fax: | 2243530915 |
Provider Mailing Location
400 W LAKE ST STE 216
ROSELLE
IL
601723572
Provider Mailing Phone/Fax
| Phone: | 6302789118 |
| Fax: | 2243530915 |