Glen Medical Imaging, Inc.

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

GLEN MEDICAL IMAGING, INC.

Practice address

251 Milwaukee Ave
Suite 1016
Buffalo Grove, IL 60089-2809

Phone

(847) 215-9840

Fax

(847) 215-9843

NPI assigned

Oct 26, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Alex Akselrud

Title

Owner/President

Phone

(847) 215-9840

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1902896277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 MILWAUKEE AVE",
            "address_2": "SUITE 1016",
            "city": "BUFFFALO GROVE",
            "state": "IL",
            "postal_code": "600892826",
            "telephone_number": "847-215-9840",
            "fax_number": "847-215-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 MILWAUKEE AVE",
            "address_2": "SUITE 1016",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600892809",
            "telephone_number": "847-215-9840",
            "fax_number": "847-215-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN MEDICAL IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "AKSELRUD",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "847-215-9840",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Gitlevich, M.D.
• Eric Glaskin-Clay, D.C.
• Michael Glaskin-Clay, D.C.
• Alex Glazer, M.D.
• Scott David Glazer, M.D.
• Jill Melissa Goldberg, MS, CCC-SLP
• Robert Alan Goldberg, DDS
• Danielle Tobias Goldman, LCSW
• Robert M Goldman, D.O.
• Matthew Goldstein, LSW

• Physiological Laboratory in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Physiological Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.