Active NPI
Mark John Glesener, D.C.
- Chiropractor
- St Charles, IL
National Provider Identifier
1306848387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-006085
- Practice address
- 1750 E Main St Ste 60
St Charles, IL 60174-2363 - Phone
- (630) 377-8844
- Fax
- (630) 377-8404
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-006085 | IL | Primary |
Addresses
Primary practice location
1750 E Main St Ste 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04532055 | Other | IL | BLUE CROSS BLUE SHIELD # |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | drg@drglesener.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1750 E Main St
Suite 60
St Charles, IL 60174-2363
Phone (630) 377-8844
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-006085 | IL | MD | Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- St Charles, IL
- NPI 1073726626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1306848387",
"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 STE 60",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601742363",
"telephone_number": "630-377-8844",
"fax_number": "630-377-8404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLESENER",
"first_name": "MARK",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_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": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "drg@drglesener.com",
"affiliation": "N",
"endpointDescription": "drg@drglesener.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"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": []
}
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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.