Most Relevant Information
Provider Data
| NPI Number: | 1003326752 |
| Provider Name: | PHYLLIS GLAZER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 180000582 |
Most Important Dates
| Enumeration Date: | 10/09/2017 |
| Last Updated: | 10/09/2017 |
Provider Practice Location
7270 W COLLEGE DR
PALOS HEIGHTS
IL
604631154
Practice Location Phone/Fax
| Phone: | 7086035980 |
| Fax: | 7085899059 |
Provider Mailing Location
7270 W COLLEGE DR
PALOS HEIGHTS
IL
604631154
Provider Mailing Phone/Fax
| Phone: | 7086035980 |
| Fax: | 7085899059 |