Individual
DR. GLEN K. LOCHMUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2210 DEAN ST, SUITE L, ST CHARLES, IL 60175-1066
(630) 377-5000
(630) 377-5028
Mailing address
2210 DEAN ST, SUITE L, ST CHARLES, IL 60175-1066
(630) 377-5000
(630) 377-5028
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036078381
IL
207Y00000X
Otolaryngology Physician
Primary
036.078381
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078381
—
IL
Enumeration date
07/08/2005
Last updated
12/14/2021
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