Healthcare Provider Details

I. General information

NPI: 1043145170
Provider Name (Legal Business Name): GLAMMURE AESTHETICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1281 KEIM TRL
BARTLETT IL
60103-7507
US

IV. Provider business mailing address

1281 KEIM TRL
BARTLETT IL
60103-7507
US

V. Phone/Fax

Practice location:
  • Phone: 630-313-0829
  • Fax:
Mailing address:
  • Phone: 630-313-0829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JANICE COLON
Title or Position: OWNER
Credential: NP
Phone: 630-313-0829