Abigail Glad, is a
Student In An Organized Health Care Education/training Program based in Chicago, Illinois. Abigail Glad is licensed to practice in * (Not Available) (license number ) and her current practice location is
2718 W Roscoe St, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(773) 961-3000.
NPI number for Abigail Glad is 1720899420 and her current mailing address is 11760 Clark Rd, Davisburg, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720899420.
Provider's Profile
| Full Name | Abigail Glad |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2718 W Roscoe St, Chicago, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1720899420
- Provider Enumeration Date: 01/14/2025
- Last Update Date: 01/14/2025
Medical Identifiers
Medical identifiers for Abigail Glad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720899420 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Abigail Glad is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Abigail Glad,
11760 Clark Rd,
Davisburg, MI 48350-2645
Ph: (248) 979-8269 | Abigail Glad,
2718 W Roscoe St,
Chicago, IL 60618-5910
Ph: (773) 961-3000 |
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