Individual
REBECCA ANN GLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2700 N CHARLES ST, BALTIMORE, MD 21218-4300
(410) 554-6300
(410) 554-3919
Mailing address
401 N MICHIGAN AVE, SUITE 1200, CHICAGO, IL 60611-4264
(312) 635-0973
(813) 290-9691
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0005673
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C005673
LICENSE NO
MD
Enumeration date
02/12/2015
Last updated
10/30/2015
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