Nelson, Glenn
Nelson, Glenn is an individual health care provider with primary practice located at 7409 Woodridge Dr , Woodridge IL 60517-2249. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nelson, Glenn can be contacted via phone (630) 241-1000.Contact Information
Primary practice address
7409 Woodridge Dr
Woodridge IL 60517-2249
Phone: (630) 241-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036065152 | Illinois |
Profile Details
| NPI number | 1508833500 |
|---|---|
| LBN Legal business name | Nelson, Glenn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Aug 16th, 2023 - about last year |
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 | 1508833500 | NPPES |
| Illinois | MEDICAID | 036065152 |
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