MELVIN I GLICK (NPI# 1124136601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124136601 |
| Entity Type | Individual |
| Full Name | MELVIN I GLICK |
| Credential | MD |
| Practice Address |
4475 Lawn Ave Western Springs IL 60558-1283 |
| Practice Telephone | 7082462500 |
| Practice Fax Number | 7082462785 |
| Mailing Telephone | 7082462500 |
| Mailing Fax Number | 7082462785 |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2010-06-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
036057005 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036057005 | 05 | |
| IL | RR MED | 080162189 | 01 |
| IL | BCBS | 21628146 | 01 |
| IL | MEDICARE GROUP | 570740 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194037648 | Melvin M Glick | Dentist | 44100 Jefferson St, Suite 404, Indio, CA 92201-2712 | 2010-07-12 |
| Street Address |
4475 LAWN AVE |
| City | WESTERN SPRINGS |
| State | IL |
| Zip Code | 60558-1283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538143557 | Regina P Walker | Otolaryngology | 4475 Lawn Ave, Western Springs, IL 60558-1283 | 2005-12-02 |
| 1073011821 | Andrea Marie Rizzo | Nurse Practitioner | 4475 Lawn Ave, Western Springs, IL 60558-1283 | 2018-01-26 |
| 1518366855 | Regina Paloyan Walker, Md Sc | Otolaryngology | 4475 Lawn Ave, Western Springs, IL 60558-1283 | 2014-08-21 |
| 1922147115 | Melvin Glick Md | Family Medicine | 4475 Lawn Ave, Western Springs, IL 60558 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194280941 | Kenneth J. Szafranski, Dds, Ltd Matthew S. Van Beek, Dds | Dentist | 1100 Hillgrove Ave, Suite 1&2, Western Springs, IL 60558 | 2019-02-06 |
| 1942782313 | Tom Schimel | Counselor | 1023 Burlington Avenue, Western Springs, IL 60558 | 2018-09-03 |
| 1760904692 | Megan Sullivan | Social Worker | 1405 Willow Ave., Western Springs, IL 60558 | 2017-07-12 |
| 1205281763 | Cara Bowton | Student in an Organized Health Care Education/Training Program | 4051 Linden Ave, Western Springs, IL 60558 | 2016-05-03 |
| 1598109803 | Megan Marie Tierney | Student in an Organized Health Care Education/Training Program | 5001 Lawn Ave, Western Springs, IL 60558 | 2013-04-18 |
| 1013275189 | Farouk Fahim Girgis | Specialist | 5731 Grand Avenue, Western Springs, IL 60558 | 2012-04-26 |
| 1346516507 | Dara Kruchko | Occupational Therapist | 3839 Central Ave., Western Springs, IL 60558 | 2012-03-31 |
| 1346540697 | John Vrchota IIi | Pharmacist | #14 Garden Market St, Western Springs, IL 60558 | 2010-11-02 |
| 1447574637 | Ryan Schmaedeke | Physical Therapist | 4700 Gilbert Ave Ste 43a, Western Springs, IL 60558 | 2010-03-17 |
| 1043463664 | Matthew David Peahl | Chiropractor | 1052 Hillgrove Ave., Western Springs, IL 60558 | 2008-10-28 |
| Find all providers in zip 60558 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336260488 | Geriatric Care Specialists,ltd | Family Medicine | 512 Hillgrove Ave, Western Springs, IL 60558-1442 | 2007-04-03 |
| 1922147115 | Melvin Glick Md | Family Medicine | 4475 Lawn Ave, Western Springs, IL 60558 | 2007-02-05 |
| 1578616819 | Jerome Vincent Donnelly | Family Medicine | 608 Hillgrove Ave, Western Springs, IL 60558-1476 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399327 | Karen Louise Mcallister | Family Medicine | 1556 N State Rd, Flora, IL 62839-3233 | 2020-09-01 |
| 1780205708 | Cook County | Family Medicine | 12757 S. Western Ave, Blue Island, IL 60406 | 2020-04-30 |
| 1982225918 | Welcome Health Management Group | Family Medicine | 2325 W Harrison St Apt 2, Chicago, IL 60612-3555 | 2020-04-30 |
| 1043702830 | Professional Healthcare Inc | Family Medicine | 960 Rand Rd Ste 224, Des Plaines, IL 60016 | 2018-06-06 |
| 1578078754 | Innovative Geriatrics LLC | Family Medicine | 301 Madison St Ste 310, Joliet, IL 60435-6686 | 2017-12-09 |
| 1033507249 | Bridgecare, Inc. | Family Medicine | 2250 E Devon Ave, Suite 333, Des Plaines, IL 60018-4511 | 2014-12-23 |
| 1700218385 | Camilla Lim | Family Medicine | 309 Ridgemoor Dr, Willowbrook, IL 60527-5416 | 2013-08-06 |
| 1073807707 | Lr Health Management, Inc | Family Medicine | 1204 S 57th Ave, Cicero, IL 60804-1148 | 2011-05-28 |
| 1770884561 | Dr Gandhi Inc | Family Medicine | 1404 English Ct, Naperville, IL 60564-5187 | 2010-11-10 |
| 1285941914 | Shifa Medical Care, Inc | Family Medicine | 142 E Lake St, Suite C, Bloomingdale, IL 60108-1195 | 2010-09-01 |
| Find all providers with the same taxonomy | ||||
| City | WESTERN SPRINGS |
| Zip Code | 60558 |
Please comment or provide details below to improve the information on MELVIN I GLICK.
| 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.