BARRY MILLER

PEORIA, IL
NPI1891885190
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036-088677)
Additional Taxonomies208000000X Pediatrics
(Licence: IL  036-088677)
Enumeration Date2006-10-15
Last Update Date2007-07-08
Business Address
-- BARRY MILLER
5114 N GLEN PARK PLACE RD
PEORIA, IL 61614-4686
Phone number: 309-683-5600
Mailing Address
-- BARRY MILLER
5114 N GLEN PARK PLACE RD
PEORIA, IL 61614-4686
Phone number: 309-683-5600