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Contact Information

BERNARD GLOS, PhD
3033 OGDEN AVE
LEGACY CLINICAL CONSULTANTS SUITE 210
LISLE, IL60532-1673
 Phone: 630-527-1664
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BERNARD GLOS · (Male)

NPI # 1275686784
Status Active
Credentials PhD
Entity Individual
Enumeration date 01/19/2007
Last updated 02/02/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 071-003497
Hospital affiliation(s) Not Available
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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