Individual
JANET GLASPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2208 MADERO DR, SHILOH, IL 62221-3186
(618) 570-7558
(618) 257-0112
Mailing address
2208 MADERO DR, SHILOH, IL 62221-3186
(618) 570-7558
(618) 257-0112
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
472652195001
—
IL
Enumeration date
05/07/2015
Last updated
05/07/2015
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