Glen Perio

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

GLEN PERIO

Practice address

2640 Patriot Blvd
Suite 140
Glenview, IL 60026-8075

Phone

(847) 729-0200

Fax

(847) 729-0202

NPI assigned

May 31, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Josephina Marissa Curio

Title

Office Manager/ Operations Manager

Phone

(847) 729-0200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jennifer Shango Adhami, D.D.S.

  • Dentist
  • Glenview, IL
  • NPI 1558725069
  NPD (past)

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1841648904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 PATRIOT BLVD",
            "address_2": "SUITE 140",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "60026",
            "telephone_number": "847-729-0200",
            "fax_number": "847-729-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 PATRIOT BLVD",
            "address_2": "SUITE 140",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268075",
            "telephone_number": "847-729-0200",
            "fax_number": "847-729-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN PERIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "CURIO",
        "authorized_official_first_name": "JOSEPHINA",
        "authorized_official_middle_name": "MARISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER/ OPERATIONS MANAGER",
        "authorized_official_telephone_number": "847-729-0200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanna Glasstetter, OTR/L
• Andrea Rose Gleason, DPT
• Glen Endoscopy Center, LLC
• Glen Lake Psychological Services, LTD
• Glen Medical Associates SC
• Glen Ridge Associates II Limited Partnership
• Glenbrook Family Dental
• Glenbrook Oral & Maxillofacial Surgery LTD
• Glenbrook Pediatrics, S.C.
• Glengrove Dental Associates

• Periodontics in Glenview, IL
• Providers in Glenview, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.