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Glen Fondren, LSW
NPI 1275801110 · on the registry since 2011
Practice
- Address
- 1414 Main St
Melrose Park, IL 60160 - Phone
- (708) 681-0073
- Organisation at this address
- Procare
Presence Health
Ascension Health
Presence Health Care
Resurrection HealthcareInferred from a shared address, not stated in the registry. - Clinicians at this address
- 193
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-17
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