MEDICARE: GLENVIEW ENDOCRINOLOGY CLINIC PLLC

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician

General Provider Information

NPI Number	:	1518823491
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLENVIEW ENDOCRINOLOGY CLINIC PLLC

Provider Business Mailing Address
First Line	:	8937 W GOLF RD
Second Line	:
City	:	NILES
State	:	IL
Zip	:	60714-5812
Country	:	US
Telephone Number	:	847-375-9711
Fax Number	:	847-375-9732

Provider Business Practice Location Address
First Line	:	8937 W GOLF RD
Second Line	:
City	:	NILES
State	:	IL
Zip	:	60714-5812
Country	:	US
Telephone Number	:	847-375-9711
Fax Number	:

Authorized Official
Title or Position	:	SOLE OWNER
Name	:	OLENA G HUNGERFORD
Credential	:	MD
Telephone Number	:	850-766-1434

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	05/18/2026

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