| Doctor Name: | SAMUEL KIRK MILLS |
| NPI Number: | 1295035608 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 7725 Woodward Ave 1a Woodridge, IL - 605173123 |
| Business Phone Number: | 6307748310 |
| Business Fax Number: | |
| Mailing Address: | 7725 Woodward Ave, 1a WOODRIDGE |
| State: | IL |
| Postal Code: | 605173123 |
| Phone Number: | 6307748310 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2010 |
| NPI Last Update Date: | 11/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744R1102X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Research Study |
| Taxonomy Definition: | |