| Doctor Name: | DR. KIM MARIE MIILLER |
| NPI Number: | 1003143637 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, PSYD |
| License Number: | 13-01P |
| Business Practice Address: | 4440 W 95th St Oak Lawn, IL - 604532600 |
| Business Phone Number: | 7086847482 |
| Business Fax Number: | 7085201996 |
| Mailing Address: | 4440 W 95th St, OAK LAWN |
| State: | IL |
| Postal Code: | 604532600 |
| Phone Number: | 7086847482 |
| Fax Number: | 7085201996 |
| NPI Enumeration Date: | 11/03/2009 |
| NPI Last Update Date: | 02/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 13-01P |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |