SearchIllinois207W00000X

Michael Glavin, M. D

NPI 1437102886 · on the registry since 2006 · sole proprietor

Practice

Address
426 Sherwood Rd
La Grange Park, IL 60526
Phone
(708) 354-2580
Fax
(708) 354-2589

Registry record

Primary taxonomy
207W00000X
207W00000X
Also registered as
174400000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-01-11

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