Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLEN GEREMIA, M.D.
ActiveNeuroradiology · PARK RIDGE, IL
Registration Details
- NPI Number
- 1508801697
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2006 (19.835526730626 yrs)
- Last Updated
- Dec 23, 2021
- License
-
036062473 (IL)
Practice Information
- Address
-
1420 RENAISSANCE DR STE 307PARK RIDGE, IL, 600681343Browse IL providers · Browse ZIP 60068
- Phone
- 8478031000
- Primary Specialty
-
Neuroradiology
2085N0700X
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.