Gelman, Glenn B
Gelman, Glenn B is an individual health care provider with primary practice located at 14 Brink St , Crystal Lake IL 60014-4302. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gelman, Glenn B can be contacted via phone (815) 455-6736.Contact Information
Primary practice address
14 Brink St
Crystal Lake IL 60014-4302
Phone: (815) 455-6736
Fax: (815) 455-9477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois |
Profile Details
| NPI number | 1487736690 |
|---|---|
| LBN Legal business name | Gelman, Glenn B |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487736690 | NPPES |
| Illinois | Other | 0005615149 | BCBS |
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