DR. GLENN A. T. BEARD (NPI# 1346317724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346317724 |
| Entity Type | Individual |
| Full Name | DR. GLENN A. T. BEARD |
| Credential | M. D. |
| Practice Address |
2555 S King Dr 2nd Floor Chicago IL 60616-2419 |
| Mailing Address |
826 S Bell Ave Chicago IL 60612-4257 |
| Practice Telephone | 3126744005 |
| Practice Fax Number | 3126744001 |
| Mailing Telephone | 3126744005 |
| Mailing Fax Number | 3126744001 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2009-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
036059554 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036059554 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235698614 | Glenn Hudson Beard | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2019-03-15 |
| Street Address |
2555 S KING DR 2ND FLOOR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60616-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255318879 | Maria Sobrero | Internal Medicine | 2555 S King Dr, 2nd Flr, Chicago, IL 60616-2419 | 2005-12-23 |
| 1235479858 | Norman M James, M.d., Ltd | Internal Medicine | 2555 S King Dr, 2nd Floor, Chicago, IL 60616-2419 | 2013-02-19 |
| 1629333224 | Flawless Service Corporation | Surgery | 2555 S King Dr, 2nd Floor, Chicago, IL 60616-2419 | 2012-07-10 |
| 1154456333 | Lakeshore Pulmonary Associates, LLC | Internal Medicine | 2555 S King Dr, 2nd Floor, Chicago, IL 60616-2419 | 2007-02-21 |
| 1174635718 | Javette C. Orgain | Family Medicine | 2555 S King Dr, Flawless Inc. 2nd Floor C/o R. Phillips, Coo, Chicago, IL 60616-2419 | 2006-08-31 |
| 1124135611 | Richard Hong | Internal Medicine | 2555 S King Dr, 2nd Flr, Chicago, IL 60616-2419 | 2006-08-23 |
| 1285689703 | Nic I Hristea | Internal Medicine | 2555 S King Dr, 2nd Flr, Chicago, IL 60616-2419 | 2006-05-23 |
| 1770537532 | Kimberly Williams | Nurse Practitioner | 2555 S King Dr, Chicago, IL 60616-2419 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993758 | King Dental, PC | Clinic/Center | 3425 S King Dr, Chicago, IL 60616 | 2020-02-06 |
| 1386286144 | Anais Karel Jackson-gonzalez | Acupuncturist | 2018 S. Michigan Ave., Chicago, IL 60616 | 2019-10-14 |
| 1215499777 | Mashaal F Ikram | Student in an Organized Health Care Education/Training Program | Mercy Hospital and Medical Center, 2525 South Michigan Avenue, Chicago, IL 60616 | 2019-04-03 |
| 1891254223 | Towayn Heaven | Acupuncturist | 2018 S Michigan Ave, Chicago, IL 60616 | 2019-03-15 |
| 1689131518 | Abhishek Santos Pandya | Internal Medicine | 2525 S Michigan Ave., Mercy Hospital and Medical Center, Chicago, IL 60616 | 2019-02-27 |
| 1144703992 | Katelyn Michelle St Martin | Physician Assistant | 2850 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-09-07 |
| 1902383953 | Healing Empowering & Learning Professionals LLC | Clinic/Center | 2930 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-07-23 |
| 1437644812 | Puja Bhagwakar | Dentist | 1620 S Michigan Ave Unit 704, Chicago, IL 60616 | 2018-06-27 |
| 1821589110 | David Alexander Sousa Frias | Internal Medicine | 2525 Michigan Ave, Mercy Hospital At Medical Center, Chicago, IL 60616 | 2018-05-23 |
| 1508394933 | Awad Eyecare Sc | Optometrist | 1845 S Michigan Ave Unit 1803, Chicago, IL 60616 | 2017-05-30 |
| Find all providers in zip 60616 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861835985 | Christie Ann Brillante | Internal Medicine | 1801 W. Taylor, Suite 3c, Chicago, IL 60612-4795 | 2013-04-08 |
| 1154564607 | Kevin Patrick Haas | Internal Medicine | 840 S Wood St # Mc719, Chicago, IL 60612-4325 | 2009-04-14 |
| 1427194638 | Diane Tate | Internal Medicine | 6547 N Avondale Ave, Suite 001, Chicago, IL 60631-1573 | 2007-01-29 |
| 1760534192 | Anita A Shah | Internal Medicine | 2800 N Sheridan Rd Ste 301, Chicago, IL 60657-6158 | 2007-01-17 |
| 1891853016 | Romeo Lee Uy | Internal Medicine | 5140 North California Ave, Suite 620, Chicago, IL 60625 | 2006-12-04 |
| 1861560724 | Alvin Jerry Schonfeld | Internal Medicine | 438 W Saint James Pl, Chicago, IL 60614-2750 | 2006-11-30 |
| 1154405801 | Nicholas Gross | Internal Medicine | 1414 N Wells St, Apt. 407, Chicago, IL 60610-1374 | 2006-10-25 |
| 1285724765 | Howard Arya Jaffe | Internal Medicine | 820 South Damen Street, Pccsm, Dept Med (111), Jesse Brown Va Medical Center, Chicago, IL 60612 | 2006-10-13 |
| 1346340650 | Ricky Johnson | Internal Medicine | 2011 E 75th St, Chicago, IL 60649-3607 | 2006-09-25 |
| 1215041462 | Patricia S Mikes Md Sc | Internal Medicine | 201 E Huron St Ste 11-245, Chicago, IL 60611-2867 | 2006-08-17 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.