Glazer, Savannah Rose

Glazer, Savannah Rose is an individual health care provider with primary practice located at 1675 Dempster St , Park Ridge IL 60068-1110. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Glazer, Savannah Rose can be contacted via phone (201) 410-1640.

Contact Information

Primary practice address
1675 Dempster St Park Ridge IL 60068-1110
Phone: (201) 410-1640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209022345 Illinois

Profile Details

NPI number 1053089318
LBN Legal business name Glazer, Savannah Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2021
Last updated Apr 20th, 2022 - about 4 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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