Glennon H Paul
Internist - Allergy & Immunology
543 W Miller St
Springfield
, Illinois 62702-4978
Glennon H Paul
Internist - Allergy & Immunology
543 W Miller St
Springfield
, Illinois 62702-4978
(217) 522-5599
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About
Features
Specialties
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- Glennon H Paul
- 543 W Miller St
- Springfield, IL
- Zip : 62702-4978
- Fax : (217) 522-5599
- Phone : (217) 522-5596
Second Address
- Glennon H Paul
- 543 W Miller St
- Springfield, IL
- Zip : 62702-4978
- Fax : (217) 522-5599
- Phone : (217) 522-5596
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0201X | Internist - Allergy & Immunology | IL |
National Provider Identifier
| NPI | 1952353526 |
|---|---|
| Provider Name | Glennon H Paul |
| First Address | Springfield, IL 62702-4978 |
| Second Address | Springfield, IL 62702-4978 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D09927 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.