Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeremy Jackson Miller

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1942881222

Jeremy Jackson Miller is a Family Practice in Rockford, Illinois. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2021, 5 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
IL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1401 E State St
Rockford, IL 61104-2315
Phone: (779) 696-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036.168563 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1942881222
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 18, 2021
Last updated in NPPESJune 8, 2024
Certification dateJune 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2021 (5 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Rockford