Gutzke, Glen E.
Gutzke, Glen E. is an individual health care provider with primary practice located at 801 S Washington St , Naperville IL 60540-7430. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Gutzke, Glen E. can be contacted via phone (630) 355-0450.Contact Information
Primary practice address
801 S Washington St
Naperville IL 60540-7430
Phone: (630) 355-0450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036070740 | Illinois |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 036070740 | Illinois |
Profile Details
| NPI number | 1548228158 |
|---|---|
| LBN Legal business name | Gutzke, Glen E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | May 9th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548228158 | NPPES |
| Illinois | MEDICAID | 036070740 |
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