MS. JENNIFER RENEE GLOVER (NPI# 1376563742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376563742 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER RENEE GLOVER |
| Credential | MD |
| Practice Address |
3340 Oak Park Ave 309 Berwyn IL 60402-3420 |
| Practice Telephone | 7084846061 |
| Practice Fax Number | 7084840250 |
| Mailing Telephone | 7084846061 |
| Mailing Fax Number | 7084840250 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2012-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
036-102884 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036102884 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891042149 | Jennifer Glover | Respiratory Therapist, Certified | 2124 N Fremont Blvd, Flagstaff, AZ 86001-0955 | 2012-08-06 |
| 1184722282 | Jennifer J Glover | Occupational Therapist | 6507 Jester Blvd, Suite 309, Austin, TX 78750-8368 | 2006-09-20 |
| 1437462686 | Jennifer Jo Glover | Registered Nurse | 795 El Camino Real, Lee Building, Level 3, Cancer Care Clinic, Palo Alto, CA 94301-2302 | 2010-07-16 |
| 1720227499 | Jennifer Rae Glover | Counselor | 202 A St, Elgin, OK 73538 | 2009-02-19 |
| 1851507412 | Jennifer Sewell Glover | Occupational Therapist | 845 Paddock Ave, Meriden, CT 06450-7021 | 2007-05-14 |
| 1235265489 | Jennifer Linda Glover | Social Worker | 14015b Sanford Ave, 2nd Floor, Flushing, NY 11355-2557 | 2007-02-24 |
| 1932119427 | Jennifer J. Glover | Occupational Therapist | 325 9th Ave, Box 359819, Seattle, WA 98104-2420 | 2006-08-08 |
| Street Address |
3340 OAK PARK AVE 309 |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-3420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862368 | Allen Jerome Rosenbaum | Internal Medicine | 3340 Oak Park Ave, Ste 304, Berwyn, IL 60402-3483 | 2005-06-24 |
| 1215251269 | Comprehensive Pain Solutions | Clinic/Center | 3340 Oak Park Ave, 314, Berwyn, IL 60402-3420 | 2010-03-19 |
| 1366626996 | Suburban Urology Associates,ltd | Specialist | 3340 Oak Park Ave, Suite 305, Berwyn, IL 60402-3420 | 2007-12-18 |
| 1821204082 | Suburban Otolaryngology,s.c. | Specialist | 3340 Oak Park Ave, Berwyn, IL 60402-3420 | 2007-05-15 |
| 1114087962 | Peter Misurec | Urology | 3340 Oak Park Ave, Suite 305, Berwyn, IL 60402-3420 | 2006-12-11 |
| 1821187923 | Larry L Bailey | Otolaryngology | 3340 Oak Park Ave, Berwyn, IL 60402-3420 | 2006-10-12 |
| 1588753693 | Daniel M Kurtzman | Otolaryngology | 3340 Oak Park Ave, Berwyn, IL 60402-3420 | 2006-10-12 |
| 1316044233 | Damayanti S Hathiwala | Pediatrics | 3340 Oak Park Ave, Suite 201, Berwyn, IL 60402-3420 | 2006-09-20 |
| 1821196643 | Anthony Joseph Guido | Dentist | 3340 Oak Park Ave, Suite 308, Berwyn, IL 60402-3420 | 2006-09-20 |
| 1992731491 | Neurologic Care Associates, P.C. | Psychiatry & Neurology | 3340 Oak Park Ave, Suite 200, Berwyn, IL 60402-3420 | 2006-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467986901 | Congress Vein Clinic LLC | Surgery | 41 W Congress Pkwy, 1st Floor, Chicago, IL 60605-1531 | 2017-04-11 |
| 1124029095 | Gary J Merlotti | Surgery | 840 S Wood Street, Csb - Mc 958 - Ste 616, Chicago, IL 60612 | 2005-08-02 |
| 1457357592 | Michael J Kikta | Surgery | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2005-06-23 |
| 1467067942 | Francesca Bryan | Surgery | 1950 W Polk St Ste 5210, Chicago, IL 60612-3723 | 2020-09-11 |
| 1528486032 | Jacqueline Ann Kalmoe | Surgery | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-5085 | 2014-04-01 |
| 1467713248 | Jacob Baruch Avraham | Surgery | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-5085 | 2012-06-07 |
| 1053677047 | Antonio Desean Lozada | Surgery | 305 W Jackson St Ste 302, Carbondale, IL 62901 | 2012-04-04 |
| 1548579576 | West Suburban Surgical, S.c. | Surgery | 1315 N Highland Ave, Suite 203, Aurora, IL 60506-1400 | 2010-09-24 |
| 1740514140 | Emergency Surgical Services of Lake County LLC | Surgery | 1870 W Winchester Rd, Suite 112, Libertyville, IL 60048-5358 | 2009-10-01 |
| 1124255856 | Michael James Anstadt | Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2009-06-21 |
| Find all providers with the same taxonomy | ||||
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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.