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Individual

DR. ROBERTA PEARL GLICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1901 W HARRISON ST DEPT NEUROSURGE, JOHN H STROGERER HOSPITAL - SUITE 643, CHICAGO, IL 60612-3714
(312) 864-5120
(312) 864-9606
Mailing address
1522 DAVIS ST, EVANSTON, IL 60201-4010
(312) 864-5120
(312) 864-9606

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
IL

Other

Enumeration date
09/13/2006
Last updated
07/08/2007
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