Organization
SCOTT D, GLAZER, M.D., S.C.
Active
Parent organization
SCOTT D. GLAZER, M.D., S.C.
Other names
Dermatology Associates of Highland Park
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCOTT D. GLAZER, M.D., S.C.
Authorized official
JILL SUTHERLAND CPC-D, MA (PRACTICE MANAGER)
(847) 432-4650
Entity
Organization
Contact information
Practice address
767 PARK AVE W, SUITE 310, HIGHLAND PARK, IL 60035-2400
(847) 432-4650
(847) 480-2616
Mailing address
767 PARK AVE W, STE 310, HIGHLAND PARK, IL 60035-2400
(847) 432-4650
(847) 459-7929
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036062019
IL
207NS0135X
Procedural Dermatology Physician
Primary
036059380
IL
207NS0135X
Procedural Dermatology Physician
036073084
IL
207NS0135X
Procedural Dermatology Physician
036102194
IL
207NS0135X
Procedural Dermatology Physician
036111358
IL
Other
Enumeration date
11/19/2012
Last updated
08/20/2013
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