Individual
DR. GLENDA FLEMISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22406 MALLOW DR, FRANKFORT, IL 60423-8493
(815) 534-5533
Mailing address
22406 MALLOW DR, FRANKFORT, IL 60423-8493
(815) 534-5533
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036052261
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036052261
IL
207RP1001X
Pulmonary Disease Physician
036052261
IL
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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