Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLENN SKOW, M.D., MPH, FAAFP
Active Sole ProprietorDR. GLENN SKOW, M.D., MPH, FAAFP is a Emergency Medicine healthcare provider located in VANDALIA, Illinois. NPI 1396987053 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · VANDALIA, IL
Registration Details
- NPI Number
- 1396987053
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2009 (17.382596045778 yrs)
- Last Updated
- Feb 6, 2025
- Licenses
-
258929 (NY)036130323 (IL)036130323 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
650 W TAYLOR STVANDALIA, IL, 624711227Browse IL providers · Browse ZIP 62471
- Phone
- 6182835136
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Emergency Medicine
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.