Mary Miller
Mary Miller is a Registered Dietitian OR Nutrition Professional in Grayslake, Illinois. Qualified in 1982, 44 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.
- Years since qualifying
- 44
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
1475 E Belvidere Rd Pavilion C Ste 385Grayslake, IL 60030-2012
Phone: (847) 535-7647
Fax: (847) 535-7260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Metabolic Nutrition Registered Dietitian (primary) | Taxonomy 133VN1006X · Licence 164001864 (IL) |
|---|
Record details
| NPI number | 1629169388 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 27, 2006 |
| Last updated in NPPES | March 1, 2017 |
| Mailing address | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 |
Medicare enrollment
| Medicare specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
|---|---|
| Medical school | OTHER |
| Graduated | 1982 (44 years in practice) |
| Group practice | Northwestern Medical Faculty Foundation — 4394 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |