Mark D. Glynn, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038008664 Issued in IL

Practice address

1995 Springbrook Square Dr Ste 109
Naperville, IL 60564-5952

Phone

(630) 922-6500

Fax

(630) 922-6502

NPI assigned

Mar 12, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SC Naperville Inc

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  • Naperville, IL
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• Sportco Rehabilitation PC

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• The Pain to Health Center SC

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  Authorized official Same address or phone

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174655328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 SPRINGBROOK SQUARE DR STE 109",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645952",
            "telephone_number": "630-922-6500",
            "fax_number": "630-922-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 SPRINGBROOK SQUARE DR STE 109",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645952",
            "telephone_number": "630-922-6500",
            "fax_number": "630-922-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLYNN",
        "first_name": "MARK",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2022-07-21",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatjana Karovic Glasser, OD
• Gabrielle Elaine Glim
• Karen Glos
• Lisa Glowiak, ND
• Matthew Vincent Glowiak, M.S., NCC, LPC
• Nicole Glynn, MSW, LCSW
• Go Chiropractic
• Ann Gina C Go, PHYSICAL THERAPIST
• Mariah Godar
• Godrocs (care clinics of naperville)

• Chiropractor in Naperville, IL
• Providers in Naperville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.