THOMAS GLIMP MD NPI 1205812047

NPI Information

NPI: 1205812047
Provider Name: THOMAS GLIMP, MD
Classification: Emergency Medicine - 207PE0004X
Entity Type: Individual

Specialization: Emergency Medical Services

PECOS Registration: Yes

Address:
75 REMITTANCE DR
SUITE 1951
CHICAGO, IL
ZIP 60675
Phone: (847) 535-7917
Get Directions

Thomas Glimp, MD is an emergency medical services emergency medicine in Chicago, IL. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. Thomas Glimp, MD NPI is 1205812047. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

75 REMITTANCE DR
SUITE 1951
CHICAGO, IL
ZIP 60675-001
Phone: (847) 535-7917
Fax: (847) 535-7801

The NPI 1205812047 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/22/2005 and was last updated on 3/24/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207PE0004X	Emergency Medicine	Emergency Medical Services	36064425	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	L90340	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
2	36064425	MEDICAID	ILLINOIS
3	C51704	MEDICARE UPIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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