DR. Glen D Souza, MD

NPI #1962248211 in Chicago, Illinois

Provider Information

NPI Number: 1962248211
Entity Type: Individual
Name: DR. Glen D Souza, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: MD
Enumeration Date: Jul 6, 2024
Last Updated: Jul 6, 2024

Practice Location

Address: 1611 W HARRISON ST STE 550
City: Chicago
State: Illinois
ZIP Code: 60612-4861
Phone: (312) 942-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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