Individual
CHRISTOPHER GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, MSN
Contact information
Practice address
1740 W TAYLOR ST, 3200W, CHICAGO, IL 60612-7232
(312) 996-4020
Mailing address
1740 W TAYLOR ST, 3200W, CHICAGO, IL 60612-7232
(312) 996-4020
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
106196
IL
Other
Enumeration date
10/28/2015
Last updated
08/31/2016
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