GLENN NELSON (NPI# 1508833500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508833500 |
| Entity Type | Individual |
| Full Name | GLENN NELSON |
| Credential | MD |
| Practice Address |
7409 Woodridge Dr Woodridge IL 60517-2249 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-0018 |
| Practice Telephone | 6302411000 |
| Mailing Telephone | 6304699200 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2019-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036065152 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036065152 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104813237 | Glenn E. Nelson | Podiatrist | 2308 N Rosemont Blvd, Tucson, AZ 85712-2139 | 2005-10-04 |
| 1891776449 | Glenn Nelson | Pathology | 100 Memorial Hospital Dr, Ste 1d, Mobile, AL 36608-1194 | 2005-11-10 |
| Street Address |
7409 WOODRIDGE DR |
| City | WOODRIDGE |
| State | IL |
| Zip Code | 60517-2249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921375 | Melissa Butzine | Physical Medicine & Rehabilitation | 7409 Woodridge Dr, Woodridge, IL 60517-2249 | 2018-02-03 |
| 1982146387 | Jose Cruz | Physical Therapy Assistant | 7409 Woodridge Dr, Ste F, Woodridge, IL 60517-2249 | 2016-11-16 |
| 1891072955 | Anne Antony | Physical Therapist | 7409 Woodridge Dr, Ste F, Woodridge, IL 60517-2249 | 2011-11-03 |
| 1154641074 | Renuka J Kalvani | Physical Therapist | 7409 Woodridge Dr, F, Woodridge, IL 60517-2249 | 2010-06-02 |
| 1558568089 | Dr. Steven Hettinger | Chiropractor | 7409 Woodridge Dr, Suite C, Woodridge, IL 60517-2249 | 2007-06-28 |
| 1447455175 | Hobson Dental Associates | Dentist | 7409 Woodridge Dr, Suite B, Woodridge, IL 60517-2249 | 2007-06-21 |
| 1689796252 | Bean Chiropractic Office | Chiropractor | 7409 Woodridge Dr, Suite C, Woodridge, IL 60517-2249 | 2007-04-04 |
| 1659403830 | Glenn Louis Deweirdt Jr. | Dentist | 7409 Woodridge Dr, Suite B, Woodridge, IL 60517-2249 | 2007-03-12 |
| 1083796239 | Anthony M Fernandez | Family Medicine | 7409 Woodridge Dr, Woodridge, IL 60517-2249 | 2006-10-19 |
| 1437254489 | Curtis Wayne Bean | Chiropractor | 7409 Woodridge Dr, Suite C, Woodridge, IL 60517-2249 | 2006-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265085401 | Sana Saqlain | Pharmacist | 10204 Werch Dr, Ste 302, Woodridge, IL 60517 | 2019-07-17 |
| 1326529421 | Allison Ann Chavez | Counselor | 6912 Young Ct, Woodridge, IL 60517 | 2018-08-27 |
| 1245768274 | Monika Maria Waclaw | Dentist | 6440 Main St Ste 310, Woodridge, IL 60517 | 2017-06-04 |
| 1003278946 | Beverly Ehlebracht | Physical Therapy Assistant | 7409 Woodrige Dr, Suite F, Woodrige, IL 60517 | 2016-03-21 |
| 1831597194 | Advanced Wellness Medical, LLC | General Practice | 6325 Main Street, Suite 120, Woodridge, IL 60517 | 2014-12-18 |
| 1538576608 | Northwest Home Care, Inc. | Home Health | 1999 75th Street, Suite 201, Woodridge, IL 60517 | 2014-07-21 |
| 1689956591 | Latha Boyd | Pharmacist | 2501 W 75th St, Woodridge, IL 60517 | 2011-09-16 |
| 1437431798 | Timothy J Madiar | Pharmacist | 2501 West 75th Street, Woodridge, IL 60517 | 2011-09-13 |
| 1720368426 | Matthew Scalzitti | Pharmacist | 7215 Janes Ave. #300, Woodridge, IL 60517 | 2011-08-25 |
| 1538454558 | Karen Hokanson | Pharmacist | 2333 W 63rd St, Woodridge, IL 60517 | 2011-06-17 |
| Find all providers in zip 60517 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609908383 | Renu Gupta | Family Medicine | 1221 Longford St, Woodridge, IL 60517-7748 | 2007-03-09 |
| 1437185980 | Kirtikumar P Talsania | Family Medicine | 5 Yellow Star Ct, Woodridge, IL 60517-1702 | 2006-06-25 |
| 1366416380 | Jonathan David Meek | Family Medicine | 2363 63rd St, Woodridge, IL 60517-1369 | 2006-02-15 |
| 1194709253 | Tri County Medical Associate PC | Family Medicine | 20 Broadway, Woodridge, NY 12789-0546 | 2005-12-02 |
| 1427439462 | Helena Ann Keag | Family Medicine | 2363 63rd St, Woodridge, IL 60517-1369 | 2015-06-16 |
| 1316334816 | Lydia S Bruce | Family Medicine | 2363 63rd St, Woodridge, IL 60517-1369 | 2015-04-22 |
| 1982041471 | Laura Marie Norman | Family Medicine | 2363 63rd St, Woodridge, IL 60517-1369 | 2013-05-24 |
| 1528309879 | Elita Lois Hohner | Family Medicine | 2363 63rd St, Woodridge, IL 60517-1369 | 2013-03-12 |
| 1790046860 | Sonali Bhatnagar | Family Medicine | 2363 63rd St, Woodridge, IL 60517-1369 | 2012-06-05 |
| 1194952614 | Chandra Sharma | Family Medicine | 7530 Woodward Ave, Woodridge, IL 60517-3100 | 2009-06-11 |
| Find all providers in WOODRIDGE | ||||
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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.