Glenn Deangelis
MD | Pediatrics | Male
Glenn Deangelis, MD is a Chicago, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Glenn Deangelis is
5841 S Maryland Ave # Mc8016, Chicago, Illinois - 60637-1447. He can be contacted on phone at
773-702-6435.
Glenn Deangelis is a sole proprietor of his business.
NPI number (Unique professional ID) for Glenn Deangelis is
1841729936 which was assigned by NPPES on 12 Jun, 2017 and it was last updated on 19 Jun, 2017.
Glenn Deangelis license number is
125070820 for Pediatrics (208000000X) in Illinois.
Glenn Deangelis is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Glenn Deangelis basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Glenn Deangelis |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Glenn Deangelis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5841 S Maryland Ave # Mc8016
Chicago, IL, 60637-1447
United States |
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| Phone Number : | 773-702-6435 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1841729936 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Jun, 2017 |
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| Last Updated On : | 19 Jun, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Glenn Deangelis are as mentioned. Primary taxonomy code for Glenn Deangelis, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | 125070820 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Glenn Deangelis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 125070820 | Other | IL | IDFPR |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 180 Harvester Dr Ste 110
Burr Ridge, IL, 60527-6686
United States |
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| Phone Number : | 773-702-1150 |
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Business Location:
Patients can refer following map for directions to
Glenn Deangelis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.