Individual
JEFFREY R GLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10735 S CICERO AVE, SUITE # 208, OAK LAWN, IL 60453-5400
(708) 424-0001
Mailing address
10735 S CICERO AVE, 208, OAK LAWN, IL 60453-5400
(708) 424-0001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178011516
IL
101YP2500X
Professional Counselor
Primary
180.012972
IL
Other
Enumeration date
10/26/2016
Last updated
04/24/2023
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