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General NPI Number Information
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NPI Number | 1104873124
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Entity Type | Individual
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Provider Name | GLENN P. ZEMEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 801 S WASHINGTON ST
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City | NAPERVILLE
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State | IL
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Zip | 60540-7430
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Country | US
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Telephone | 630-355-0450
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Fax |
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Provider Business Mailing Address
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Address Line | 387 SHUMAN BLVD STE 240W
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City | NAPERVILLE
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State | IL
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Zip | 60563-8113
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Country | US
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Telephone | 630-355-0450
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036108942
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 036108942
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 102117-875
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License Number State | WI
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