Jonathan Shane Glickstein in Gibson City - Otolaryngology
Jonathan Shane Glickstein - NPI 1598983371
Jonathan Shane Glickstein is a Otolaryngology in Gibson City, Illinois. Jonathan Shane Glickstein practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Jonathan Shane Glickstein is 1598983371. The last update date is 2021-03-22.
Jonathan Shane Glickstein's current location address is 1120 N Melvin St, Gibson City, Illinois. You can contact this provider via phone number 2177842212. The mailing address for Jonathan Shane Glickstein is 1120 N Melvin St, Gibson City, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Shane Glickstein |
|---|---|
| Address | 1120 N Melvin St, Gibson City, Illinois |
| Phone Number | 2177842212 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1598983371 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2021-03-22 |
Provider Mailing Address Detail
| Address | 1120 N Melvin St |
|---|---|
| City | Gibson City |
| State | Illinois (IL) |
| Post Code | 609361477 |
| Phone Number | 2177842212 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 49523 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 886103000 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jonathan Shane Glickstein by the Centers for Medicare & Medicaid Services?
The Jonathan Shane Glickstein has been issued the NPI (National Provider Identifier) 1598983371, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jonathan Shane Glickstein located?
The Jonathan Shane Glickstein is located at 1120 N Melvin St, Gibson City, IL 609361477.
What is Jonathan Shane Glickstein's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jonathan Shane Glickstein is Otolaryngology, and the taxonomy code that classifies this field of practice is 207Y00000X.
On what date did the Jonathan Shane Glickstein receive its 1598983371 assignment from the Centers for Medicare & Medicaid Services?
The Jonathan Shane Glickstein was assigned its 1598983371 by the Centers for Medicare & Medicaid Services on 2007-04-24.
When was the Jonathan Shane Glickstein's information last updated?
The Jonathan Shane Glickstein's information was last updated on 2021-03-22.