DR. BARRY GLICK (NPI# 1013903509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013903509 |
| Entity Type | Individual |
| Full Name | DR. BARRY GLICK |
| Credential | DO |
| Practice Address |
810 Biesterfield Rd Suite 306 Elk Grove Village IL 60007-7312 |
| Practice Telephone | 8479816061 |
| Practice Fax Number | 8479816062 |
| Mailing Telephone | 8479816061 |
| Mailing Fax Number | 8479816062 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | IL | Allopathic & Osteopathic Physicians |
| Street Address |
810 BIESTERFIELD RD SUITE 306 |
| City | ELK GROVE VILLAGE |
| State | IL |
| Zip Code | 60007-7312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376752634 | Mariusz T Koziol I | Obstetrics & Gynecology | 810 Biesterfield Rd, Suite 306 - Wimmer Building, Elk Grove Village, IL 60007-3378 | 2007-05-22 |
| 1295762821 | Shannon Holland | Physician Assistant | 810 Biesterfield Rd, Eberle Building, Suite 605, Elk Grove Village, IL 60007-7312 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593706 | Anthony Ray Zwaga | Social Worker | 1001 Il-53 N, Elk Grove Village, IL 60007 | 2020-03-19 |
| 1104471333 | Highway Dental Inc | Dentist | 1055 Rohlwing Road, Elk Grove Village, IL 60007 | 2019-08-05 |
| 1699335984 | Orsini Pharmaceutical Services, LLC | Pharmacy | 1107 Nicholas Boulevard, Elk Grove Village, IL 60007 | 2019-06-18 |
| 1700371457 | Kandy Sandhu | Specialist/Technologist, Other | 910 Biesterfield Rd, Suite 105, Elk Grove Village, IL 60007 | 2018-06-26 |
| 1447761085 | Trevor W Avella | Physician Assistant | 800 Biesterfield Rd Ste 101, Elk Grove Village, IL 60007 | 2017-10-23 |
| 1649792573 | Paige Wesa | Speech-Language Pathologist | 936 Victoria Ln, Elk Grove Village, IL 60007 | 2017-07-12 |
| 1093242414 | Assist Illinois Senior Care Services, Inc. | In Home Supportive Care | 1052 Florida Lane, Elk Grove Village, IL 60007 | 2017-05-16 |
| 1598205098 | Azadeh Bassij | Counselor | 1001 Rohwing Rd., Kenneth Young Center, Elk Grove Village, IL 60007 | 2017-03-02 |
| 1700245438 | Roma H Venkatesan | Nurse Practitioner | 800 Biesterfield Road Cancer Institute, Suite 120, Elk Grove Village, IL 60007 | 2016-02-23 |
| 1295114825 | Shelagh Robyn Nikkel | Massage Therapist | 901 Biesterfield Rd. Suite 211, Maria A. Castellese D.c., P.C., Elk Grove Village, IL 60007 | 2015-05-28 |
| Find all providers in zip 60007 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629242094 | Jadwiga B. Czajkowska | Internal Medicine | 800 Biesterfield Rd Ste 4003, Northwest Rheumatology Specialists, S.c., Elk Grove Village, IL 60007 | 2008-04-16 |
| 1710185426 | Mansoor Khan Md Sc | Internal Medicine | 800 Biesterfield Rd Ste 407, Elk Grove Village, IL 60007-3311 | 2007-07-03 |
| 1053490920 | Mansoor Khan | Internal Medicine | 800 Biesterfield Rd # 407, Elk Grove Village, IL 60007-3311 | 2006-11-03 |
| 1417931510 | Jay Jonathan Virchow | Internal Medicine | 800 W Biesterfield Rd, Suite 206, Elk Grove Village, IL 60007-3378 | 2005-12-01 |
| 1407219504 | Illinois Adult Healthcare LLC | Internal Medicine | 800 Biesterfield Rd, Suite 3007, Elk Grove Village, IL 60007-3361 | 2016-04-05 |
| 1801292933 | Me and My Doctor, Ltd | Internal Medicine | 800 Biesterfield Rd, Brock Medical Plaza, Suite 2009, Elk Grove Village, IL 60007-3361 | 2014-11-17 |
| 1982042404 | An Gao | Internal Medicine | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2013-06-06 |
| 1386901353 | Pratyaya Majumder | Internal Medicine | 800 Biesterfield Rd Ste 510, Elk Grove Village, IL 60007-3367 | 2012-04-16 |
| 1740556455 | Kamran Khan Sherwani | Internal Medicine | 800 Biesterfield Rd Ste 510, Elk Grove Village, IL 60007-3367 | 2012-03-27 |
| 1245556547 | Ashish Haryani | Internal Medicine | 800 Biesterfield Rd Ste G01, Elk Grove Village, IL 60007-3372 | 2010-04-12 |
| Find all providers in ELK GROVE VILLAGE | ||||
| City | ELK GROVE VILLAGE |
| Zip Code | 60007 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.