| Doctor Name: | DR. DAVID WARREN MILLER |
| NPI Number: | 1174714844 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D., L.AC. |
| License Number: | 036-100091 |
| Business Practice Address: | 4361 N Lincoln Ave Unit 5 Chicago, IL - 606181741 |
| Business Phone Number: | 7739608901 |
| Business Fax Number: | 8662594969 |
| Mailing Address: | 4361 N Lincoln Ave, Unit 5 CHICAGO |
| State: | IL |
| Postal Code: | 606181741 |
| Phone Number: | 7739608901 |
| Fax Number: | 8662594969 |
| NPI Enumeration Date: | 08/07/2007 |
| NPI Last Update Date: | 07/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 036-100091 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |