Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLEN B SMITH, M.D.
ActiveDR. GLEN B SMITH, M.D. is a Thoracic Surgery (Cardiothoracic Vascular) healthcare provider located in BLOOMINGTON, Illinois. NPI 1326031105 is currently active in the NPPES registry. Verify at CMS.
Thoracic Surgery (Cardiothoracic Vascular) · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1326031105
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 26, 2005 (21.014782504376 yrs)
- Last Updated
- Nov 13, 2012
- License
-
036075454 (IL)
Practice Information
- Address
-
1505 EASTLAND DRSUITE 210BLOOMINGTON, IL, 617017906Browse IL providers · Browse ZIP 61701
- Phone
- 3096625506
- Fax
- 3096625443
- Primary Specialty
-
Thoracic Surgery (Cardiothoracic Vascular)
208G00000X
Other Thoracic Surgery (Cardiothoracic Vascular) Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. JESSE L VANLE | M.D. | 1366435224 |
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.