Tammy Renee Glauser, RN
Individual provider Active NPI Registered Nurse · Zion, IL
NPI 1801447180 · NPPES record last updated Sep 27, 2019
Key facts
- NPI
- 1801447180
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 041308133 (IL)
- Practice address
- 2216 20TH St
Zion, IL 60099-1648 - Phone
- (847) 445-4633
- NPI assigned
- Sep 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041308133 | IL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041308133 | IL | Yes |
Addresses
Primary practice location
2216 20TH St
Zion, IL 60099-1648
Mailing address
12865 W Clarendon Rd
Beach Park, IL 60099-9646
Phone (224) 381-3383
Other providers in Zion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.