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Dr. Glen B Smith, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Bloomington, Illinois
NPI 1326031105

Glen B Smith is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician based in Bloomington, IL. Glen B Smith practices in Bloomington, IL and has the professional credentials of MD. The NPI Number for Glen B Smith is 1326031105 and holds a License No. 036075454 (Illinois).

The current practice location address for Glen B Smith is 1505 Eastland Dr, Bloomington, IL and can be reached out via phone at 309-662-5506 and via fax at 309-662-5443. You can also correspond with Glen B Smith through the mailing address at 1505 EASTLAND DR, BLOOMINGTON, IL - 61701-7906 (mailing address contact number: 309-662-5506).

Location: 1505 Eastland Dr, Bloomington, IL, 61701-7906
person
Provider Profile Details
NPI Number
1326031105
Provider Name
Glen B Smith
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1505 Eastland Dr, Bloomington, IL, 61701-7906
Phone Number
309-662-5506
Fax Number
309-662-5443
Provider Enumeration Date
08/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008131 01 IL HEALTH ALLIANCE PROVIDER
205477201 05 MO
37773 01 PHCS
37893 01 TRICARE
228074 01 HEALTHLINK
036075454000 01 OSF HEALTH PLANS
05732036 01 IL BLUE SHIELD GROUP NUMBER
233989 01 PERSONAL CARE
1955270 01 UNITED HEALTHCARE
IL0102 01 JOHN DEERE HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
1505 Eastland Dr
City
State
Zip
61701-7906
Phone Number
309-662-5506
Fax Number
309-662-5443
person
Provider Business Mailing Address Details
Address
1505 Eastland Dr
City
State
Zip
61701-7906
Phone Number
309-662-5506
Fax Number
309-662-5443
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
License No.
036075454 (Illinois)
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
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