Individual provider · Type 1 NPI

Nicole Borissa Miller, PA-C

Physician Assistant · Evanston, IL

NPI number 1255104337 Active

Practice location

2650 Ridge Ave
Evanston, IL 60201-1700

Call (847) 570-1010 Map

Fax (847) 733-5108

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085012029 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1255104337

Nicole Borissa Miller, PA-C's National Provider Identifier is 1255104337, issued on Nov 1, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Evanston, IL. The record was last updated on May 5, 2026.