Individual
DR. ERIC GLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 293-3200
(773) 878-3753
Mailing address
5140 N CALIFORNIA AVE, SUITE 635/645, CHICAGO, IL 60625-3645
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036082168
IL
207RP1001X
Pulmonary Disease Physician
036082168
IL
208M00000X
Hospitalist Physician
Primary
036082168
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
336-044480
CONTROLLED SUBSTANCE
IL
Enumeration date
05/12/2006
Last updated
03/07/2023
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