MEDICARE: DR. ARTHUR ERIC GLASER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	038004711	IL

General Provider Information

NPI Number	:	1821294257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTHUR ERIC GLASER D.C.

Provider Business Mailing Address
First Line	:	2017 WEBER RD
Second Line	:
City	:	CREST HILL
State	:	IL
Zip	:	60435-1974
Country	:	US
Telephone Number	:	815-744-1350
Fax Number	:	815-744-1304

Provider Business Practice Location Address
First Line	:	2017 WEBER RD
Second Line	:
City	:	CREST HILL
State	:	IL
Zip	:	60435-1974
Country	:	US
Telephone Number	:	815-744-1350
Fax Number	:	815-744-1304

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2007
Last Update Date	:	07/08/2007

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