Individual
LAWRENCE GLUSKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 N SHERIDAN RD, SUITE 510, CHICAGO, IL 60657-6156
(773) 248-1616
(773) 248-4343
Mailing address
2800 N SHERIDAN RD, SUITE 510, CHICAGO, IL 60657-6156
(773) 248-1616
(773) 248-4343
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036059381
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360593811
—
IL
Enumeration date
01/25/2006
Last updated
12/28/2021
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