Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN SHANE GLICKSTEIN, MD
ActiveDR. JONATHAN SHANE GLICKSTEIN, MD is a Otolaryngology healthcare provider located in GIBSON CITY, Illinois. NPI 1598983371 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · GIBSON CITY, IL
Registration Details
- NPI Number
- 1598983371
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2007 (19.352112128686 yrs)
- Last Updated
- Mar 22, 2021
- Licenses
-
49523 (MN)036.154865 (IL)
Practice Information
- Address
-
1120 N MELVIN STGIBSON CITY, IL, 609361477Browse IL providers · Browse ZIP 60936
- Phone
- 2177842212
- Primary Specialty
-
Otolaryngology
207Y00000X
- Additional Specialty
- Otolaryngology
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.