Individual
MICHAEL J. GLAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
426 SHERWOOD RD, LA GRANGE PARK, IL 60526-1968
(708) 354-2580
(708) 354-2589
Mailing address
426 SHERWOOD RD, LA GRANGE PARK, IL 60526-1968
(708) 354-2580
(708) 354-2589
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036-063745
IL
207W00000X
Ophthalmology Physician
Primary
036063745
IL
Other
Enumeration date
05/18/2006
Last updated
01/11/2013
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