Glenn Gottner

NPI 1770034860 · on the registry since 2016

Practice

Address: 5435 Bull Valley Rd
Suite 118
Mchenry, IL 60050
Phone: (815) 363-7007
Organisation at this address: Omso Medical Ltd
Thomas Tilot Md Sc
Thrive Healthcare, Llc
Bella Medica Laser Center
Out Of The Box Psychotherapy, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 24

Registry record

Primary taxonomy: 171100000X
171100000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-10-24

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