Glenn Francis Garafolo, P.A.-C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

085-000141 Issued in IL

Practice address

136 Biesterfield Rd
Elk Grove Village, IL 60007-3657

Phone

(847) 981-5910

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

No

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

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: ggarafolo85524@direct.edward.org

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386789261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E HARRISON AVE",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874316",
            "telephone_number": "630-462-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 BIESTERFIELD RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073657",
            "telephone_number": "847-981-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARAFOLO",
        "first_name": "GLENN",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085-000141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren E Gaeger, DPT
• Kristi Kay Gallegos, NP
• Margaret Galloway, NP
• Angela Amelia Ganan Popa, MD
• Pankti Gandhi
• Elizabeth Garcia, CNM
• Mauro Garcia
• Thomas E Garrity, MD
• Daniel Garvey, MD
• James F Gary, LCPC

• Medical Physician Assistant in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.