Bynum, Glenn Leroy

Bynum, Glenn Leroy is an sole proprietor health care provider with primary practice located at 902 Monroe Ave , River Forest IL 60305-1424. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bynum, Glenn Leroy can be contacted via phone (708) 771-4588.

Contact Information

Primary practice address
902 Monroe Ave River Forest IL 60305-1424
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois

Profile Details

NPI number 1366581175
LBN Legal business name Bynum, Glenn Leroy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Mar 7th, 2023 - about last year

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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