Organization Active NPI

Glorye Wool. M.D. S. C.

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1417106667
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036-038126 Issued in IL
Legal business name
GLORYE WOOL. M.D. S. C.
Practice address
53 W Jackson Blvd
1509
Chicago, IL 60604-3606
Phone
(312) 786-1426
NPI assigned
Sep 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Dr. Glorye Wool, M.D.
Title
President
Phone
(312) 786-1426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 036-038126 IL Primary

Addresses

Primary practice location

53 W Jackson Blvd
1509
Chicago, IL 60604-3606

Mailing address

53 W Jackson Blvd
1509
Chicago, IL 60604-3606
Phone (312) 786-1426

National Provider Directory

National Provider Directory

Locations

53 W Jackson Blvd
#1509
Chicago, IL 60604
Phone (312) 786-1426

53 W Jackson Blvd
Ste 1509
Chicago, IL 60604
Phone (312) 786-1426

53 W Jackson Blvd
Ste 15
Chicago, IL 60604
Phone (312) 786-1426

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1417106667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD",
            "address_2": "1509",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043606",
            "telephone_number": "312-786-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD",
            "address_2": "1509",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043606",
            "telephone_number": "312-786-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORYE WOOL. M.D. S. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "WOOL",
        "authorized_official_first_name": "GLORYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-786-1426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-038126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.