Lochmueller, Glen K.

Lochmueller, Glen K. is an individual health care provider with primary practice located at 2210 Dean St Suite L, St Charles IL 60175-1066. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Lochmueller, Glen K. can be contacted via phone (630) 377-5000.

Contact Information

Primary practice address
2210 Dean St Suite L St Charles IL 60175-1066
Phone: (630) 377-5000
Fax: (630) 377-5028
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036078381 Illinois
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 036.078381 Illinois

Profile Details

NPI number 1467450098
LBN Legal business name Lochmueller, Glen K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Dec 14th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467450098 NPPES
Illinois MEDICAID 036078381

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