Doctor Name: | DR. LINA GLADISH |
NPI Number: | 1497198378 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 036085727 |
Business Practice Address: | 3834 Lizette Ln. Glenview, IL - 60026 |
Business Phone Number: | 8473370092 |
Business Fax Number: | |
Mailing Address: | 3834 Lizette Ln., GLENVIEW |
State: | IL |
Postal Code: | 60026 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/10/2013 |
NPI Last Update Date: | 04/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 036085727 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |