| Doctor Name: | GLORIA MILLARE |
| NPI Number: | 1407922628 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 036046131 |
| Business Practice Address: | 1443 W Schaumburg Road Suite 111 Schaumburg, IL - 60194 |
| Business Phone Number: | 8475241002 |
| Business Fax Number: | 8475241181 |
| Mailing Address: | 1443 W Schaumburg Road, Suite 111 SCHAUMBURG |
| State: | IL |
| Postal Code: | 60194 |
| Phone Number: | 8475241002 |
| Fax Number: | 8475241181 |
| NPI Enumeration Date: | 11/28/2006 |
| NPI Last Update Date: | 03/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 036046131 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |