NPI 1053089318

Savannah Rose Glazer

Practitioner Pediatric Nurse Practitioner Park Ridge, IL

Practice location

Address: 1675 Dempster St, Park Ridge, IL 60068-1110
Phone: (201) 410-1640
Mailing address: 1930 W Potomac Ave, Chicago, IL 60622-3149

Registered specialties

Pediatric Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X Licence 209022345 (IL)

Other Nurse Practitioner providers in Illinois →

Registry record

NPI: 1053089318
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Sep 2021
Record last updated: 20 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.