Individual
MR. MATTHEW JOHN GLOWACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2746
(708) 422-4221
(708) 422-4415
Mailing address
16221 W 159TH ST, LOCKPORT, IL 60441-7959
(708) 422-4221
(708) 422-4415
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-64982
IL
207P00000X
Emergency Medicine Physician
036-84982
IL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
036064982
IL
207R00000X
Internal Medicine Physician
020-01236
IN
Other
Enumeration date
11/29/2005
Last updated
10/06/2017
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