Azok, Jill Glassberg

Azok, Jill Glassberg is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Azok, Jill Glassberg can be contacted via phone (219) 844-7700.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 2008003298 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2008003298 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35-099079 Ohio

Profile Details

NPI number 1568677011
LBN Legal business name Azok, Jill Glassberg
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Sep 11th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568677011 NPPES
Ohio MEDICAID 0064327

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