Scott D. Glazer, M.d., S.c.

NPI #1215151857 in Buffalo Grove, Illinois

Provider Information

NPI Number: 1215151857
Entity Type: Organization
Organization Name: Scott D. Glazer, M.d., S.c.
Primary Specialty: Dermatology
Enumeration Date: Apr 13, 2007
Last Updated: May 20, 2014

Practice Location

Address: 600 W LAKE COOK RD STE 110
City: Buffalo Grove
State: Illinois
ZIP Code: 60089-2085
Phone: (847) 459-6611

Authorized Official

Name: MRS. JILL A SUTHERLAND, CPC-D
Title: PRACTICE MANAGER
Phone: (847) 459-6495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary
Dermatology - Clinical & Laboratory Dermatological Immunology — Clinical & Laboratory Dermatological Immunology	207NI0002X
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X
Internal Medicine	207R00000X

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