Mrs Diane Marie Glick, APN | |
4201 Medical Center Drive, Mchenry, IL 60050 | |
(224) 520-3434 | |
Not Available |
Full Name | Mrs Diane Marie Glick |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 4201 Medical Center Drive, Mchenry, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184979544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209009618 (Illinois) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 209.009618 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Osf Saint Anthony Medical Center | Rockford, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osf Multi-specialty Group | 3678889789 | 1552 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Mrs Diane Marie Glick, APN 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: (847) 570-2040 | Mrs Diane Marie Glick, APN 4201 Medical Center Drive, Mchenry, IL 60050 Ph: (224) 520-3434 |
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