Matthew John Glowacki, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036-64982 Issued in IL

Practice address

2800 W 95TH St
Evergreen Park, IL 60805-2746

Phone

(708) 422-4221

Fax

(708) 422-4415

NPI assigned

Nov 29, 2005

Last updated

Oct 6, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency MedicineAlso: Internal Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lockport Express Medical Group IncGroup PAC ID 8628233053, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lockport Express Medical Group, Inc.

  dba Lockport Express Medical Group

  • Urgent Care Clinic/Center
  • Lockport, IL
  • NPI 1790053643
  Medicare reassignment Care Compare group
• Emerge Medstaffing LLC

  dba Emerge Quick Care

  • Family Medicine Physician
  • Frankfort, IL
  • NPI 1467177311

  Single Specialty

  Medicare reassignment NPD
• Emerge Medstaffing LLC

  • Emergency Medicine Physician
  • Chicago Heights, IL
  • NPI 1780167841

  Single Specialty

  NPD
• Emergency Care Physician Services

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1568493294

  Single Specialty

  NPD (past)
• Emergency Care Physician Services-Blue Island LTD

  • Emergency Medicine Physician
  • Blue Island, IL
  • NPI 1558524793

  Single Specialty

  NPD (past)
• Illinois/Indiana Em-I Medical Services, S.C.

  • Emergency Medicine Physician
  • Blue Island, IL
  • NPI 1710926647

  Single Specialty

  NPD (past)
• Unimed, LTD

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1205849718

  Single Specialty

  NPD (past)
• Windy City Emergency Physicians

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1467490979

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1730162207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16221 W 159TH ST",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604417959",
            "telephone_number": "708-422-4221",
            "fax_number": "708-422-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052746",
            "telephone_number": "708-422-4221",
            "fax_number": "708-422-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOWACKI",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-84982",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-64982",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "IL",
            "license": "036064982",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "020-01236",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Gibson, LCPC
• Jennifer Gilhooly
• Kevin Patrick Gillespie, CRNA
• Kenneth A Gleaves, PH.D., LCPC, NCACI
• Nancy L Gleaves, MA, LCPC, NCAC II
• Brian C. Gold, LCSW
• Jared Gonzales
• Kendra Taylor Gorny
• Angelita M Gowin
• Madeline Graal, M.A., CCC-SLP

• Emergency Medicine Physician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; 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.

Verify at the official NPI Registry.