Glos, Bernard
Glos, Bernard is an sole proprietor health care provider with primary practice located at 3033 Ogden Ave Legacy Clinical Consultants Suite 210, Lisle IL 60532-1673. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Glos, Bernard can be contacted via phone (630) 527-1664.Contact Information
Primary practice address
3033 Ogden Ave Legacy Clinical Consultants Suite 210
Lisle IL 60532-1673
Phone: (630) 527-1664
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071-003497 | Illinois |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X |
Profile Details
| NPI number | 1275686784 |
|---|---|
| LBN Legal business name | Glos, Bernard |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Feb 2nd, 2010 - about 14 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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