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Contact Information

MICHAEL J GLAVIN, MD
426 SHERWOOD RD
LA GRANGE PARK, IL60526-1968
 Phone: 708-354-2580
 Fax: 708-354-2589
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for MICHAEL J GLAVIN · (Male)

NPI # 1437102886
Status Active
Credentials MD
Entity Individual
Enumeration date 05/18/2006
Last updated 01/11/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036-063745
  • IL License # 036063745
Hospital affiliation(s)
  • ADVENTIST LA GRANGE MEMORIAL HOSPITAL - (Acute Care)
    5101 S WILLOW SPRINGS RD
    LA GRANGE, IL 60525
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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