Organization Active NPI

Glenn I Cabin M D S C

  • Internal Medicine Physician
  • Des Plaines, IL
National Provider Identifier
1760618524
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3641739 Issued in IL
Legal business name
GLENN I CABIN M D S C
Practice address
1400 E. Golf Road
Suite 211
Des Plaines, IL 60016
Phone
(847) 635-1005
Fax
(847) 635-1570
NPI assigned
Jun 8, 2009
Organization subpart
Yes
Parent organization
GLENN I CABIN M D S CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Authorized official

Name
Mrs. Elyse D Cabin
Title
Manager
Phone
(847) 635-1005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 3641739 IL Primary

Addresses

Primary practice location

1400 E. Golf Road
Suite 211
Des Plaines, IL 60016

Mailing address

1400 E Golf Road
Suite 211
Des Plaines, IL 60016
Phone (847) 635-1005

National Provider Directory

National Provider Directory
Part of
Glenn I Cabin MD SC

Locations

1400 E Golf Rd
Ste 211
Des Plaines, IL 60016
Phone (847) 635-1005

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1760618524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E GOLF ROAD",
            "address_2": "SUITE 211",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60016",
            "telephone_number": "847-635-1005",
            "fax_number": "847-635-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E. GOLF ROAD",
            "address_2": "SUITE 211",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60016",
            "telephone_number": "847-635-1005",
            "fax_number": "847-635-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN I CABIN M D S C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GLENN I CABIN M D S C",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "CABIN",
        "authorized_official_first_name": "ELYSE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-635-1005",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "3641739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.