Melvin Glick MD

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

MELVIN GLICK MD

Practice address

4475 Lawn Ave
Western Springs, IL 60558

Phone

(708) 246-2500

Fax

(708) 246-2785

NPI assigned

Feb 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Melvin I Glick, MD

Title

Owner

Phone

(708) 246-2500

Specialties & licenses 1

Addresses

Other names 1

• Family Practice Geriatric Medicine Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda M Law, APRN, CNP

  • Nurse Practitioner
  • Winfield, IL
  • NPI 1558380634
  NPD (past)
• Jacqueline Walker, MD

  • Family Medicine Physician
  • Westchester, IL
  • NPI 1073563821
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922147115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 LAWN AVE",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "60558",
            "telephone_number": "708-246-2500",
            "fax_number": "708-246-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 LAWN AVE",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "60558",
            "telephone_number": "708-246-2500",
            "fax_number": "708-246-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVIN GLICK MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-246-2500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Practice Geriatric Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Diane McDonald, M.ED.
• Olivia Kathryn McGann, RD
• Deeana Marie McGlynn
• Megan Hanson Speech Therapy PLLC (Sound Speech Therapy PLLC)
• Colin J Meister, DPT
• Ashley L Michelsen, PA-C
• Midland Oral Surgery and Implant Centers, LTD
• Izabela Milenkovska, PHARMD
• Erin Michelle Miller, BCBA
• Marjorie Miller, DDS

• Geriatric Medicine (Family Medicine) Physician in Western Springs, IL
• Providers in Western Springs, IL by specialty
• Geriatric Medicine (Family Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.