Search › Illinois › 207R00000X
Glenn Carlson, MD
NPI 1225913429 · on the registry since 2025 · sole proprietor
Practice
- Address
- 717 N Waiola Ave
La Grange Park, IL 60526 - Phone
- (610) 563-7515
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois