Most Relevant Information
Provider Data
| NPI Number: | 1003823519 |
| Provider Name: | EILEEN H GLENN L.C.P.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/01/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
708 CHURCH ST STE 247
EVANSTON
IL
602013840
Practice Location Phone/Fax
| Phone: | 8477339661 |
| Fax: | 8477331571 |
Provider Mailing Location
2209 DODGE AVE
EVANSTON
IL
602013012
Provider Mailing Phone/Fax
| Phone: | 8473723736 |
| Fax: | 8477331571 |