Individual
MS. CAROL ANN GLASCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
723 STATION XING, WATERLOO, IL 62298-1886
(618) 939-1551
(618) 939-1553
Mailing address
723 STATION XING, WATERLOO, IL 62298-1886
(618) 939-1551
(618) 939-1553
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-000-156
IL
Other
Enumeration date
08/12/2005
Last updated
08/27/2010
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