Individual
DR. GLEN S BABICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
813 STONE CREEK LN, BELLEVILLE, IL 62223-2655
(615) 973-0026
(618) 213-7168
Mailing address
813 STONE CREEK LN, BELLEVILLE, IL 62223-2655
(615) 973-0026
(618) 213-7168
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
01077201A
IN
208D00000X
General Practice Physician
036-114518
IL
208D00000X
General Practice Physician
04-37037
KS
208D00000X
General Practice Physician
47521
AZ
208D00000X
General Practice Physician
E-6244
AR
208D00000X
General Practice Physician
M-9700
ID
208D00000X
General Practice Physician
MD0000027058
TN
208D00000X
General Practice Physician
Primary
MD2002010249
MO
Other
Enumeration date
08/25/2005
Last updated
06/25/2020
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