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Carmon L Glover III, DO
General Practice Physician in Belleville, Illinois
NPI 1497701510

Carmon L Glover III is a General Practice Physician based in Fort Worth, IL. Carmon L Glover III practices in Belleville, IL and has the professional credentials of DO. The NPI Number for Carmon L Glover III is 1497701510 and holds a License No. 036098224 (Illinois).

The current practice location address for Carmon L Glover III is 211 S 3Rd St, Belleville, IL and can be reached out via phone at 618-234-2120. You can also correspond with Carmon L Glover III through the mailing address at PO BOX 8882, FORT WORTH, TX - 76124-0882 (mailing address contact number: 817-451-4208).

Location: 211 S 3Rd St, Belleville, IL, 76124-0882
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497701510
Provider Name
Carmon L Glover III
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
211 S 3Rd St, Belleville, IL, 76124-0882
Phone Number
618-234-2120
Fax Number
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036098224 05 IL
P00342997 01 IL RAILROAD MEDICARE
08232205 01 IL BLUE CROSS BLUE SHIELD
0008232056 01 IL BLUECROSS BLUESHIELD
06032182 01 IL BLUE CROSS BLUE SHIELD
08232204 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
211 S 3Rd St
City
Belleville
State
Illinois
Zip
62220-1915
Phone Number
618-234-2120
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 8882
City
Fort Worth
State
Texas
Zip
76124-0882
Phone Number
817-451-4208
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
036098224 (Illinois)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
036098224 (Illinois)
Definition
Definition to come...
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