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

Stacie Danielle Miller

Individual provider Registered Dietitian · NPI 1295426310

Stacie Danielle Miller is a Registered Dietitian in Homewood, Illinois. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2023
Specialties on file
2

Practice location Address checks out

17715 Harwood Ave
Homewood, IL 60430-1317
Phone: (708) 306-1122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 37003512A (IN)
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1295426310
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 18, 2023
Last updated in NPPESMay 18, 2023
Certification dateMay 18, 2023
Mailing address17715 Harwood Ave, Homewood, IL 60430-1317

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