Basic Information
| Provider Information | |||||||||
| NPI: | 1669614392 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GLASSMAN | ||||||||
| FirstName: | ADAM | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7435 W TALCOTT AVE | ||||||||
| Address2: | RESURRECTION EMERGENCY MEDICINE RESIDENCY | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606313707 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 7435 W TALCOTT AVE | ||||||||
| Address2: | RESURRECTION EMERGENCY MEDICINE RESIDENCY | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60631 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7737927921 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/26/2009 | ||||||||
| LastUpdateDate: | 08/17/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 036127554 | IL | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.