Glover, Jennifer Renee
Glover, Jennifer Renee is an individual health care provider with primary practice located at 1901 W Harrison St Dept Of , Chicago IL 60612-3714. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurocritical Care, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is her primary health care specialty. Glover, Jennifer Renee can be contacted via phone (312) 864-6400.Contact Information
Primary practice address
1901 W Harrison St Dept Of
Chicago IL 60612-3714
Phone: (312) 864-6400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurocritical Care | 2084A2900X | ME146418 | Florida |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME146418 | Florida |
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | ME146418 | Florida |
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 036102884 | Illinois |
Profile Details
NPI number | 1376563742 |
---|---|
LBN Legal business name | Glover, Jennifer Renee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 20th, 2006 |
Last updated | Apr 4th, 2024 - about 5 months 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 | 1376563742 | NPPES |
Florida | Other | VJTQO | BLUE CROSS BLUE SHIELD |
Florida | MEDICAID | 108068500 | BLUE CROSS BLUE SHIELD |
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