Basic Information
| Provider Information | |||||||||
| NPI: | 1124782982 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MILLER | ||||||||
| FirstName: | ERIN | ||||||||
| MiddleName: | CONNER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 25026 GATES LN | ||||||||
| Address2: | |||||||||
| City: | PLAINFIELD | ||||||||
| State: | IL | ||||||||
| PostalCode: | 605852222 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3173408712 | ||||||||
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| Practice Location | |||||||||
| Address1: | 12450 WALKER RD | ||||||||
| Address2: | |||||||||
| City: | LEMONT | ||||||||
| State: | IL | ||||||||
| PostalCode: | 604399301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6302430400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/27/2021 | ||||||||
| LastUpdateDate: | 10/27/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/27/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | IL | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.