Scott D. Glazer, M.D., S.C.

LBN: Scott D. Glazer, M.D., S.C.
Scott D. Glazer, M.D., S.C. is an health care organization with primary practice located at 600 W Lake Cook Rd Ste 110 , Buffalo Grove IL 60089-2085. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Procedural Dermatology is the primary health care specialty. Scott D. Glazer, M.D., S.C. can be contacted via phone (847) 459-6611, or through Sutherland, Jill A via phone (847) 459-6495.

Contact Information

Primary practice address
600 W Lake Cook Rd Ste 110 Buffalo Grove IL 60089-2085
Phone: (847) 459-6611
Fax: (847) 459-6621
Website:
Map and Directions
Authorized official contact:
Name: Sutherland, Jill A CPC-D
Phone: (847) 459-6495

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036059380 Illinois
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036073084 Illinois
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036102194 Illinois
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036111358 Illinois
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X 036059380 Illinois
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X 036073084 Illinois
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X 036102194 Illinois
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X 036111358 Illinois
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 036059380 Illinois
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 036073084 Illinois
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 036102194 Illinois
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 036111358 Illinois
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 036062019 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036062967 Illinois

Profile Details

NPI number 1215151857
LBN Legal business name Scott D. Glazer, M.D., S.C.
DBA Doing business as
Authorized official Sutherland, Jill A CPC-D
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2007
Last updated May 20th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215151857 NPPES
Illinois Other 31601993 BCBS GROUP PIN#
Illinois Other 1114957156 BCBS GROUP PIN#
Illinois Other 14D0886350 BCBS GROUP PIN#
Illinois Other D13565 BCBS GROUP PIN#
Illinois Other 1770587206 BCBS GROUP PIN#
Illinois Other 1578552246 BCBS GROUP PIN#

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