Individual
DR. DAVID A. I. GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2210 DEAN ST, SUITE F, ST CHARLES, IL 60175-1066
(630) 443-1008
(630) 443-0923
Mailing address
2210 DEAN ST, SUITE F, ST CHARLES, IL 60175-1066
(630) 443-1008
(630) 443-0923
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4532004
BCBS PROVIDER NUMBER
IL
Enumeration date
11/08/2006
Last updated
07/08/2007
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