DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GLENN F CARLSON JR., MD

Active Sole Proprietor

Internal Medicine · LA GRANGE PARK, IL

Registration Details

NPI Number
1225913429
Provider Type
Individual
Gender
Male
NPI Issued
Aug 7, 2025 (0.73847742105185 yrs)
Last Updated
Aug 7, 2025
License
036.073913 (IL)
Sole Proprietor
Yes

Practice Information

Address
717 N WAIOLA AVE
LA GRANGE PARK, IL, 605261451
Browse IL providers · Browse ZIP 60526
Phone
6105637515
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in LA GRANGE PARK, IL

Name Credential NPI
WILLIAM BARRON MD 1295709335
DR. RAMESH PITAMBERDAS MELVANI MD 1982769980
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.