Individual
DR. NANCY R GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 S CALIFORNIA AVE, CHICAGO, IL 60608-1732
(773) 257-5442
Mailing address
2236 LINCOLNWOOD DR, EVANSTON, IL 60201-2020
(847) 733-9970
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-093186-2
—
IL
Enumeration date
08/26/2005
Last updated
07/08/2007
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