Individual
MARIAN GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2340 S HIGHLAND AVE, SUITE 300, LOMBARD, IL 60148-5371
(630) 261-1210
Mailing address
2340 S HIGHLAND AVE, SUITE 300, LOMBARD, IL 60148-5371
(630) 261-1210
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.011113
IL
Other
Enumeration date
03/17/2014
Last updated
03/18/2014
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