| Doctor Name: | CARMON L GLOVER |
| NPI Number: | 1497701510 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 036098224 |
| Business Practice Address: | 211 S 3rd St Belleville, IL - 622201915 |
| Business Phone Number: | 6182342120 |
| Business Fax Number: | |
| Mailing Address: | Po Box 8882, FORT WORTH |
| State: | TX |
| Postal Code: | 761240882 |
| Phone Number: | 8174514208 |
| Fax Number: | |
| NPI Enumeration Date: | 05/26/2006 |
| NPI Last Update Date: | 03/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 036098224 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |