# GLENN I CABIN M D S C

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GLENN I CABIN M D S C
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760618524
- **Legal business name:** GLENN I CABIN M D S C
- **Authorized official:** MRS. ELYSE D CABIN (MANAGER)
- **Authorized official phone:** (847) 635-1005

## Contact information

- **Practice address:** 1400 E. GOLF ROAD, SUITE 211, DES PLAINES, IL 60016
- **Practice address phone:** (847) 635-1005
- **Practice address fax:** (847) 635-1570
- **Mailing address:** 1400 E GOLF ROAD, SUITE 211, DES PLAINES, IL 60016
- **Mailing address phone:** (847) 635-1005
- **Mailing address fax:** (847) 635-1570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 3641739 | IL | Yes |

## Other

- **Enumeration date:** 06/08/2009
- **Last updated:** 07/07/2009