Batiller, Glenn Mitra

Batiller, Glenn Mitra is an individual health care provider with primary practice located at 25 N Winfield Rd , Winfield IL 60190-1379. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Batiller, Glenn Mitra can be contacted via phone (630) 933-6675.

Contact Information

Primary practice address
25 N Winfield Rd Winfield IL 60190-1379
Fax: (630) 933-2614
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 15892 Oklahoma
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01059881A Indiana
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036084852 Illinois

Profile Details

NPI number 1346212487
LBN Legal business name Batiller, Glenn Mitra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Nov 9th, 2023 - about 2 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 1346212487 NPPES
Indiana MEDICAID 200811400

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