DR. GLEN SMITH, M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Active Individual
NPI: 1326031105

Practice Address

1505 EASTLAND DR
SUITE 210
Bloomington, IL 61701

Phone: (309) 662-5506

Specialties

Specialty Code Primary License
Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X Yes 036075454 (IL)

Frequently Asked Questions

NPI 1326031105 is the National Provider Identifier for DR. GLEN SMITH, M.D., a Thoracic Surgery (Cardiothoracic Vascular Surgery) provider located in Bloomington, IL. This NPI was enumerated on August 26, 2005.
DR. GLEN SMITH, M.D. practices at 1505 EASTLAND DR, SUITE 210, Bloomington, IL 61701.

Quick Facts

NPI
1326031105
Type
Individual
Enumerated
Aug 26, 2005
Last Updated
Nov 13, 2012

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