Glesener, Mark John

Glesener, Mark John is an individual health care provider with primary practice located at 1750 E Main St Suite #60, St Charles IL 60174-2363. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Glesener, Mark John can be contacted via phone (630) 377-8844.

Contact Information

Primary practice address
1750 E Main St Suite #60 St Charles IL 60174-2363
Phone: (630) 377-8844
Fax: (630) 377-8404
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038-006085 Illinois

Profile Details

NPI number 1306848387
LBN Legal business name Glesener, Mark John
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jan 5th, 2021 - about 3 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 1306848387 NPPES
Illinois Other 04532055 BLUE CROSS BLUE SHIELD #

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