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Contact Information

KURT L GLESNE, DPM
2351 BROADWAY ST
PEKIN, IL61554-3972
 Phone: 309-353-4159
 Fax: 309-353-4531
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KURT L GLESNE · (Male)

NPI # 1346508280
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/29/2012
Last updated 12/04/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # PO 3503
  • IL License # 016.005522
  • IL License # 016005522
Hospital affiliation(s)
  • METHODIST MEDICAL CENTER OF ILLINOIS - (Acute Care)
    221 N E GLEN OAK AVE
    PEORIA, IL 61636
  • PEKIN MEMORIAL HOSPITAL - (Acute Care)
    600 SOUTH 13TH STREET
    PEKIN, IL 61554
  • PROCTOR HOSPITAL - (Acute Care)
    5409 N KNOXVILLE AVE
    PEORIA, IL 61614
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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