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Dr. Mark John Glesener, DC
Chiropractor in St Charles, Illinois
NPI 1306848387

Mark John Glesener is a Chiropractor based in St Charles, IL. Mark John Glesener practices in St Charles, IL and has the professional credentials of DC. The NPI Number for Mark John Glesener is 1306848387 and holds a License No. 038-006085 (Illinois).

The current practice location address for Mark John Glesener is 1750 E Main St, St Charles, IL and can be reached out via phone at 630-377-8844 and via fax at 630-377-8404.

Location: 1750 E Main St, St Charles, IL, 60174-2363
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306848387
Provider Name
Mark John Glesener
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1750 E Main St, St Charles, IL, 60174-2363
Phone Number
630-377-8844
Fax Number
630-377-8404
Provider Enumeration Date
08/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04532055 01 IL BLUE CROSS BLUE SHIELD #
institution
Provider Business Practice Location Address Details
Address
1750 E Main St
City
St Charles
State
Illinois
Zip
60174-2363
Phone Number
630-377-8844
Fax Number
630-377-8404
person
Provider Business Mailing Address Details
Address
1750 E Main St
City
St Charles
State
Illinois
Zip
60174-2363
Phone Number
630-377-8844
Fax Number
630-377-8404
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038-006085 (Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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