D Souza, Glen

D Souza, Glen is an individual health care provider with primary practice located at 1611 W Harrison St Ste 550 , Chicago IL 60612-4861. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. D Souza, Glen can be contacted via phone (312) 942-6100.

Contact Information

Primary practice address
1611 W Harrison St Ste 550 Chicago IL 60612-4861
Fax: (312) 942-6653
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 085013 Illinois

Profile Details

NPI number 1962248211
LBN Legal business name D Souza, Glen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2024
Last updated Jul 6th, 2024 - about 5 months 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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