Glickman, Michael E

Glickman, Michael E is an individual health care provider with primary practice located at 199 W Rand Rd Ste 203 , Mount Prospect IL 60056-1157. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Glickman, Michael E can be contacted via phone (847) 618-5450.

Contact Information

Primary practice address
199 W Rand Rd Ste 203 Mount Prospect IL 60056-1157
Fax: (847) 618-5459
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0360878691 Illinois

Profile Details

NPI number 1154347128
LBN Legal business name Glickman, Michael E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Sep 14th, 2021 - about 5 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 1154347128 NPPES
Illinois MEDICAID 0360878691

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