Gardner, Glenn

Gardner, Glenn is an individual health care provider with primary practice located at 3815 Highland Ave , Downers Grove IL 60515-1500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Gardner, Glenn can be contacted via phone (630) 275-5900.

Contact Information

Primary practice address
3815 Highland Ave Downers Grove IL 60515-1500
Phone: (630) 275-5900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 036069959 Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036069959 Illinois

Profile Details

NPI number 1881647675
LBN Legal business name Gardner, Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Dec 31st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881647675 NPPES
Illinois MEDICAID 036069959

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