Scott D, Glazer, M.D., S.C.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

036059380 Issued in IL

Legal business name

SCOTT D, GLAZER, M.D., S.C.

Doing business as

Dermatology Associates of Highland Park

Practice address

767 Park Ave W
Suite 310
Highland Park, IL 60035-2400

Phone

(847) 432-4650

Fax

(847) 480-2616

NPI assigned

Nov 19, 2012

Organization subpart

Yes

Parent organization

SCOTT D. GLAZER, M.D., S.C.As reported in NPPES

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

Authorized official

Name

Jill Sutherland, CPC-D, MA

Title

Practice Manager

Phone

(847) 432-4650

Specialties & licenses 5

Addresses

Other names 1

• Dermatology Associates of Highland Park Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Robert V Kolbusz MD2 organizations share this tax ID, including this one

Part of

Robert V Kolbusz MD

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Scott D. Glazer, M.D., S.C.

  • Family Nurse Practitioner
  • Buffalo Grove, IL
  • NPI 1497143523
  NPD tax ID

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1497099113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 PARK AVE W",
            "address_2": "STE 310",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352400",
            "telephone_number": "847-432-4650",
            "fax_number": "847-459-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 PARK AVE W",
            "address_2": "SUITE 310",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352400",
            "telephone_number": "847-432-4650",
            "fax_number": "847-480-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT D, GLAZER, M.D., S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCOTT D. GLAZER, M.D., S.C.",
        "enumeration_date": "2012-11-19",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "847-432-4650",
        "authorized_official_credential": "CPC-D, MA"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036062019",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036059380",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036073084",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036102194",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036111358",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Associates of Highland Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Schuldt Performance Center
• Brett C. Schulte, MD
• Jenelle Schulte, PA-C
• Cheryl Nadine Schultz, LCSW
• Ralph I Schwarz, PHARMD
• SDG Inc.,
• See Inc
• Karen Seltzer, LMT
• Jill E Senner, PHD
• Arouna Senthilkumar, M.D.

• Procedural Dermatology Physician in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Procedural Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.