Individual
DR. LISA M GLOSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3707 DOTY RD STE G, WOODSTOCK, IL 60098
(815) 338-6600
(815) 338-9488
Mailing address
3707 DOTY RD STE G, WOODSTOCK, IL 60098-7530
(815) 338-6600
(815) 338-9488
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036097016
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036097016
STATE LICENSE
IL
01
—
P00012141
MEDICARE RAILROAD
IL
Enumeration date
05/02/2006
Last updated
10/19/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us