Individual
EMILY ELIZABETH GLERUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1460 N HALSTED ST # 202, CHICAGO, IL 60642-2605
(773) 871-4409
Mailing address
1460 N HALSTED ST # 202, CHICAGO, IL 60642-2605
(773) 871-4409
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006633
IL
Other
Enumeration date
07/17/2018
Last updated
07/30/2020
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