Individual
DR. GLENN A. T. BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
2555 S KING DR, 2ND FLOOR, CHICAGO, IL 60616-2419
(312) 674-4005
(312) 674-4001
Mailing address
826 S BELL AVE, CHICAGO, IL 60612-4257
(312) 674-4005
(312) 674-4001
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036059554
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036059554
—
IL
Enumeration date
11/29/2006
Last updated
07/28/2009
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