Individual
CARMON L GLOVER III
Active
Individual
CARMON L GLOVER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036098224
IL
208D00000X
General Practice Physician
036098224
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008232056
BLUECROSS BLUESHIELD
IL
05
—
036098224
—
IL
01
—
06032182
BLUE CROSS BLUE SHIELD
IL
01
—
08232204
BLUE CROSS BLUE SHIELD
IL
01
—
08232205
BLUE CROSS BLUE SHIELD
IL
01
—
P00342997
RAILROAD MEDICARE
IL
Enumeration date
05/26/2006
Last updated
03/25/2013
Update your record
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