| Organization Name: | MILLARE HEALTHCARE S.C. |
| NPI Number: | 1609038314 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GLORIA MILLARE (PHYSICIAN) |
| Mailing Address: | 1443 W Schaumburg Rd Ste 111 Schaumburg |
| State: | IL US |
| Postal Code: | 601944000 |
| Phone Number: | 8475241002 |
| Fax Number: | 8475241181 |
| NPI Enumeration Date: | 06/25/2008 |
| NPI Last Update Date: | 03/11/2015 |
| 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: | |