Doctor Name: | BRIAN L GLAUS |
NPI Number: | 1144230376 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 038009702 |
Business Practice Address: | 165 S Rand Rd Lake Zurich, IL - 600472275 |
Business Phone Number: | 8475504094 |
Business Fax Number: | 8475504096 |
Mailing Address: | 967 E San Tan Dr, GILBERT |
State: | AZ |
Postal Code: | 852963610 |
Phone Number: | 4809260491 |
Fax Number: | 4805584520 |
NPI Enumeration Date: | 08/09/2006 |
NPI Last Update Date: | 10/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 038009702 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |