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NPI Code Detail

MEDICARE: DR. JOSEPH L GLOWIAK DC, MS

MEDICARE: DR. JOSEPH L GLOWIAK DC, MS
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
1111N00000XChiropractor038013008IL

General Provider Information

NPI Number : 1265985303
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH L GLOWIAK DC, MS
Provider Business Mailing Address
First Line : 225 W HUBBARD ST STE 302
Second Line :
City : CHICAGO
State : IL
Zip : 60654-4916
Country : US
Telephone Number : 773-598-4387
Fax Number :
Provider Business Practice Location Address
First Line : 225 W HUBBARD ST STE 302
Second Line :
City : CHICAGO
State : IL
Zip : 60654-4916
Country : US
Telephone Number : 773-598-4387
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2016
Last Update Date : 01/15/2019

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