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NPI Code Detail

MEDICARE: MILLARE HEALTHCARE SC

MEDICARE: MILLARE HEALTHCARE SC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician036046131IL

General Provider Information

NPI Number : 1609038314
Entity Type Code : Organization
Provider Name (Legal Business Name) : MILLARE HEALTHCARE SC
Provider Business Mailing Address
First Line : 2500 W HIGGINS ROAD
Second Line : SUITE 340
City : HOFFMAN ESTATES
State : IL
Zip : 60169-7207
Country : US
Telephone Number : 847-524-1002
Fax Number : 847-524-1181
Provider Business Practice Location Address
First Line : 2500 W HIGGINS ROAD
Second Line : SUITE 340
City : HOFFMAN ESTATES
State : IL
Zip : 60169-7207
Country : US
Telephone Number : 847-524-1002
Fax Number : 847-524-1181
Authorized Official
Title or Position : DIRECTOR
Name : DR. GLORIA MILLARE
Credential : MD
Telephone Number : 847-524-1002
Provider Enumeration Date : 06/25/2008
Last Update Date : 09/22/2020

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Directions to “MILLARE HEALTHCARE SC ” Practice Location

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