Individual
DR. JAMES DOUGLAS GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(847) 316-4000
Mailing address
2950 N SHERIDAN RD APT 1202, CHICAGO, IL 60657-0952
(312) 754-8596
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101058963
VA
207L00000X
Anesthesiology Physician
Primary
036.119299
IL
207L00000X
Anesthesiology Physician
C54882
CA
207L00000X
Anesthesiology Physician
D0067950
MD
Other
Enumeration date
07/20/2005
Last updated
10/08/2020
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