Individual
GLEN GEREMIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1420 RENAISSANCE DR STE 307, PARK RIDGE, IL 60068-1343
(847) 803-1000
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
036062473
IL
2085R0202X
Diagnostic Radiology Physician
036-062473
IL
Other
Enumeration date
06/20/2006
Last updated
03/18/2026
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