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Individual
DR. MARTHA LOUISE MILLAR
Active
Individual
DR. MARTHA LOUISE MILLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-078461
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912186024
GROUP NPI
—
01
—
216024
GROUP PTAN
—
Enumeration date
11/03/2006
Last updated
03/23/2015
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