Glassenberg, Myron

Glassenberg, Myron is an individual health care provider with primary practice located at 2740 W Foster Ave Ste 108, Chicago IL 60625-3500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Glassenberg, Myron can be contacted via phone (773) 989-5571.

Contact Information

Primary practice address
2740 W Foster Ave Ste 108 Chicago IL 60625-3500
Phone: (773) 989-5571
Fax: (773) 989-4471
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036045748 Illinois

Profile Details

NPI number 1487758850
LBN Legal business name Glassenberg, Myron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Jan 12th, 2016 - about 9 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 1487758850 NPPES
Illinois MEDICAID 036045748
Illinois Other 406120086

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