Individual
DR. LUCIA GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1150 W FULLERTON AVE, FLOOR 2, CHICAGO, IL 60614
(773) 549-7757
(773) 549-1221
Mailing address
1000 REMINGTON BLVD STE 100, BOLINGBROOK, IL 60440-4707
(630) 914-2469
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036146576
IL
390200000X
Student in an Organized Health Care Education/Training Program
125067787
IL
Other
Enumeration date
04/28/2015
Last updated
03/17/2021
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