Individual
SCOTT DAVID GLAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 W LAKE COOK RD, STE 110, BUFFALO GROVE, IL 60089-2089
(847) 459-6611
(847) 459-7929
Mailing address
600 W LAKE COOK RD, STE 110, BUFFALO GROVE, IL 60089-2089
(847) 459-6611
(847) 459-7929
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036059380
IL
207ND0900X
Dermatopathology Physician
036059380
IL
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
036059380
IL
207NS0135X
Procedural Dermatology Physician
Primary
036059380
IL
Other
Enumeration date
06/13/2005
Last updated
01/05/2016
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