GLENNON H PAUL (NPI# 1952353526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952353526 |
| Entity Type | Individual |
| Full Name | GLENNON H PAUL |
| Credential | M.D. |
| Practice Address |
543 W Miller St Springfield IL 62702-4978 |
| Practice Telephone | 2175225596 |
| Practice Fax Number | 2175225599 |
| Mailing Telephone | 2175225596 |
| Mailing Fax Number | 2175225599 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
543 W MILLER ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-4978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558311126 | Donald G Gumprecht | Internal Medicine | 543 W Miller St, Springfield, IL 62702-4978 | 2006-05-12 |
| 1609828292 | Pradeep S Kulkarni | Internal Medicine | 543 W Miller St, Springfield, IL 62702-4978 | 2006-05-16 |
| 1902857717 | David N Wright | Internal Medicine | 543 W Miller St, Springfield, IL 62702-4978 | 2006-05-15 |
| 1487605291 | David C Crabtree | Internal Medicine | 543 W Miller St, Springfield, IL 62702 | 2006-05-15 |
| 1952351546 | Central Illinois Allergy and Respiratory | Internal Medicine | 543 W Miller St, Springfield, IL 62702-4978 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 207RA0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Allergy & Immunology |
| An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699007286 | Wayne B Miles Md PC | Internal Medicine | 1200 E Woodhurst Dr, Bldg K Suite 300, Springfield, MO 65804-4261 | 2010-02-05 |
| 1902857717 | David N Wright | Internal Medicine | 543 W Miller St, Springfield, IL 62702-4978 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538261151 | Kimberly Kay Ricaurte | Internal Medicine | 570 Lincoln Ave, Suite 4, Winnetka, IL 60093-2355 | 2006-09-03 |
| 1093794620 | Amee Majmundar | Internal Medicine | 16660 S. 107th Ave., Orland Park, IL 60467 | 2006-01-12 |
| 1518420413 | Alexian Brothers Medical Care Group Nfp | Internal Medicine | 2601 Navistar Dr, Lisle, IL 60532-3661 | 2019-04-09 |
| 1881078616 | Stephannie Davies | Internal Medicine | 450 Dundee Ave, Elgin, IL 60120-4205 | 2015-07-10 |
| 1912200825 | Midwest Allergy Inc | Internal Medicine | 1425 N Mclean Blvd, Suite 100, Elgin, IL 60123-5723 | 2010-12-15 |
| 1356642912 | Midwest Allergy & Asthma Inc | Internal Medicine | 7808 W College Dr, Suite 1sw, Palos Heights, IL 60463-1027 | 2010-11-12 |
| 1801197462 | Midwest Allergy Inc | Internal Medicine | 7808 W College Dr, Suite 1sw, Palos Heights, IL 60463-1027 | 2010-11-12 |
| 1366743924 | Midwest Allergy Inc | Internal Medicine | 10001 W Roosevelt Rd, Suite 304, Westchester, IL 60154-2664 | 2010-11-12 |
| 1689998262 | Nana Sarkoah Fenny | Internal Medicine | 5841 S Maryland Ave, Mc 5044, Room C-104 4, Chicago, IL 60637-1447 | 2010-03-25 |
| 1750522710 | Ghani Medical Center, Md Sc | Internal Medicine | 10001 W Roosevelt Rd, Suite 304, Westchester, IL 60154-2664 | 2009-03-20 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
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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.