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Individual

DR. MYRON GLASSENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2740 W FOSTER AVE, STE 108, CHICAGO, IL 60625-3500
(773) 989-5571
(773) 989-4471
Mailing address
2740 W FOSTER AVE, LL7, CHICAGO, IL 60625
(773) 878-8200
(773) 293-4197

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036045748
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036045748
IL
01
406120086
PTAN
Enumeration date
09/07/2006
Last updated
01/12/2016
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