Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLEN S BABICH, MD
Active Sole ProprietorDR. GLEN S BABICH, MD is a General Practice healthcare provider located in BELLEVILLE, Illinois. NPI 1184617086 is currently active in the NPPES registry. Verify at CMS.
General Practice · BELLEVILLE, IL
Registration Details
- NPI Number
- 1184617086
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 25, 2005 (20.945331542374 yrs)
- Last Updated
- Jun 25, 2020
- Licenses
-
036-114518 (IL)47521 (AZ)E-6244 (AR)M-9700 (ID)01077201A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
813 STONE CREEK LNBELLEVILLE, IL, 622232655Browse IL providers · Browse ZIP 62223
- Phone
- 6159730026
- Fax
- 6182137168
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
- Additional Specialty
- General Practice
- Additional Specialty
- General Practice
- Additional Specialty
- General Practice
Other General Practice Providers in BELLEVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN J BOEREN | MD | 1376530949 |
| DR. NAI HUA SHU | M.D. | 1073522249 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.