Organization
GLUECK MD, LLC
Active
Other names
Reproductive and Endocrine Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER SHANA GLUECK M.D. (OWNER)
(917) 903-7047
Entity
Organization
Contact information
Practice address
600 CENTRAL AVE, SUITE 315, HIGHLAND PARK, IL 60035-3211
(847) 786-0048
Mailing address
600 CENTRAL AVE, SUITE 315, HIGHLAND PARK, IL 60035-3211
(847) 786-0048
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
036133880
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001060800
—
FL
Enumeration date
09/26/2013
Last updated
01/27/2014
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