Robert S Glick DPM PC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

016002695 Issued in IL

Legal business name

ROBERT S GLICK DPM PC

Practice address

1630 W 18TH St
Chicago, IL 60608-2817

Phone

(312) 243-3131

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Robert S Glick, DPM

Title

President

Phone

(312) 243-3131

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Oleg Minkevitch, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1700816477
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1487792420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 W 18TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082817",
            "telephone_number": "312-243-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 W 18TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082817",
            "telephone_number": "312-243-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S GLICK DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-243-3131",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": "016002695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL SUPPLIER ID",
            "identifier": "0527240001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert O Isaacs, M D LTD
• Robert O. McCarthy MD SC
• Robert O. Stensland & Assoc. Inc.
• Robert Owens MD Corporation
• Robert P Gordon MD SC
• Robert S. Goldberg, MD, SC
• Robert S. Salk D.D.S. Jack a. Marks D.D.S. L.T.D.
• Robert Slott MD PC
• Robert W. Buchanan, M.D. S.C.
• Carrington Aidan Robert-Fitzgerald, DO

• Customized Equipment (DME) in Chicago, IL
• Providers in Chicago, IL by specialty
• Customized Equipment (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.