Active NPI
Raymond Robert Glon, FNP-BC
- Family Nurse Practitioner
- Downers Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.013755
- Practice address
- 1441 Branding Ave Ste 310
Downers Grove, IL 60515 - Phone
- (630) 829-1084
- NPI assigned
- Jan 28, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 19531 | WI | |
| Family Nurse Practitioner | 363LF0000X | 19531 | WI | |
| Family Nurse Practitioner | 363LF0000X | 209.013755 | IL | Primary |
Addresses
Primary practice location
1441 Branding Ave Ste 310
Downers Grove, IL 60515
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Other practice location 1
4711 Golf Rd # 1250
Skokie, IL 60076-1224
Phone (847) 235-6033
Other practice location 2
11333 W National Ave
Milwaukee, WI 53227-3111
Phone (414) 329-4979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100190707 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rglon224849@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1366 W Fullerton Ave
Chicago, IL 60614-2129
Phone (773) 248-9300
214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19531 | WI | MD | Nurse Practitioner |
| 209.013755 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
1441 Branding Ave
Ste 310
Downers Grove, IL 60515
Phone (630) 829-1038
6631 N Milwaukee Ave
Niles, IL 60714
Phone (847) 588-4131
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
11333 W National Ave
West Allis, WI 53227
Phone (414) 327-2295
Interoperability endpoints
- rglon224849@direct.myadvocateaurora.org
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659599157
-
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
- NPI 1801941075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1629435102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 BRANDING AVE STE 310",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "60515",
"telephone_number": "630-829-1084"
}
],
"practiceLocations": [
{
"address_1": "4711 Golf Rd # 1250",
"address_purpose": "LOCATION",
"city": "Skokie",
"state": "IL",
"postal_code": "600761224",
"country_code": "US",
"telephone_number": "847-235-6033",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11333 W National Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532273111",
"country_code": "US",
"telephone_number": "414-329-4979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLON",
"first_name": "RAYMOND",
"middle_name": "ROBERT",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-28",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "19531",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "19531",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.013755",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100190707",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rglon224849@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1441 Branding Ave Ste 310",
"city": "Downers Grove",
"state": "IL",
"country_code": "US",
"postal_code": "60515",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1441 Branding Ave Ste 310",
"city": "Downers Grove",
"state": "IL",
"country_code": "US",
"postal_code": "60515",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.