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Individual

SAVANNAH ROSE GLAZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1675 DEMPSTER ST, PARK RIDGE, IL 60068-1110
(201) 410-1640
Mailing address
1930 W POTOMAC AVE, CHICAGO, IL 60622-3149
(201) 410-1640

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209022345
IL

Other

Enumeration date
09/01/2021
Last updated
04/20/2022
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