Glenda Flemister, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036052261 Issued in IL

Practice address

22406 Mallow Dr
Frankfort, IL 60423-8493

Phone

(815) 534-5533

NPI assigned

Feb 27, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1700150505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22406 MALLOW DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604238493",
            "telephone_number": "815-534-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22406 MALLOW DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604238493",
            "telephone_number": "815-534-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMISTER",
        "first_name": "GLENDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036052261",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036052261",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036052261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Fishback, FNP-BC
• Fisher-Jost Therapy LLC
• Raven Fisher, LCPC
• Ashley Fitzpatrick
• Peggy Diane Fitzpatrick Sr., SLP
• Flexeon Rehabilitation of Frankfort LLC
• Flocare Cila Home
• Foot and Ankle Podiatric and Orthopedic Care
• Sarah Forgue-Pienta, OTR/L
• Emily Alyssa Francis

• Internal Medicine Physician in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.