Search › Illinois › 207V00000X
Kenzie Glassburn, MD
NPI 1467026195 · on the registry since 2021
Practice
- Address
- 101 S Wall St
Carbondale, IL 62901 - Phone
- (618) 519-9200
- Organisation at this address
- Laboratory Corporation Of America
Shawnee Health Service And Development Corp
Shawnee Health Service And Development CorpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Additional practice sites
- 513 N Main St, Anna, IL
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-14
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