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Individual

CHERYL L GLOMBICKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

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
164W00000X
Licensed Practical Nurse
209006620
IL
363L00000X
Nurse Practitioner
209006620
IL
363LF0000X
Family Nurse Practitioner
Primary
209006620
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209006620
STATE LICENSE
IL
Enumeration date
09/25/2007
Last updated
10/19/2018
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