Organization Active NPI

Glesener Chiropractic Center PC

  • Chiropractor
  • St Charles, IL
National Provider Identifier
1073726626
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-006085 Issued in IL
Legal business name
GLESENER CHIROPRACTIC CENTER PC
Practice address
1750 E Main St
Suite 60
St Charles, IL 60174-2363
Phone
(630) 377-8844
Fax
(630) 377-8404
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mark John Glesener, DCNPI 1306848387
Title
Owner
Phone
(630) 747-8844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038-006085 IL Primary

Addresses

Primary practice location

1750 E Main St
Suite 60
St Charles, IL 60174-2363

Mailing address

1750 E Main St Ste 60
St Charles, IL 60174-2363
Phone (630) 377-8844

Other identifiers 1

IdentifierTypeStateIssuer
04532055OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Fox Valley Chiropractic Physicians Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drg@drglesener.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050107000550 IL Part B Supplier - Clinic/Group Practice 5294783031 Receives reassigned benefits from 1 practitioner
Practice locations: St Charles, IL

National Provider Directory

National Provider Directory

Locations

1750 E Main St
St Charles, IL 60174
Phone (630) 377-8844

1750 E Main St
Ste 60
St Charles, IL 60174
Phone (630) 377-8844

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1073726626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 E MAIN ST STE 60",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742363",
            "telephone_number": "630-377-8844",
            "fax_number": "630-377-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E MAIN ST",
            "address_2": "SUITE 60",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742363",
            "telephone_number": "630-377-8844",
            "fax_number": "630-377-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLESENER CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "GLESENER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-747-8844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-006085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04532055",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drg@drglesener.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1750 E Main St",
            "address_2": "Suite 60",
            "city": "St Charles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601742363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fox Valley Chiropractic Physicians",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.