SCOTT D GLAZER M.D. S.C. NPI 1497099113

NPI Information

  • NPI: 1497099113
  • Provider Name: SCOTT D, GLAZER, M.D., S.C.
  • Classification: Dermatology - 207NS0135X
  • Specialization: Procedural Dermatology
  • Entity Type: Organization
  • Doing Business As: DERMATOLOGY ASSOCIATES OF HIGHLAND PARK
  • CLIA Number: 14D2173581
  • Address: 767 PARK AVE W
    SUITE 310
    HIGHLAND PARK, IL
    ZIP 60035
  • Phone: (847) 432-4650

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NPI Details

SCOTT D, GLAZER, M.D., S.C. is a procedural dermatology dermatology in Highland Park, IL. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). SCOTT D, GLAZER, M.D., S.C. NPI is 1497099113. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Dermatology Associates Of Highland Park.

The provider's business location address is:

767 PARK AVE W
SUITE 310
HIGHLAND PARK, IL
ZIP 60035-400
Phone: (847) 432-4650
Fax: (847) 480-2616

The provider's authorized official is Jill Sutherland .
The authorized official title is Practice Manager and has the following contact phone number (847) 432-4650.

The CLIA number assigned to this NPI record is 14D2173581 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2012 and was last updated on 8/20/2013.

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
1207N00000XDermatology036062019ILLINOISNo
2207NS0135XDermatologyProcedural Dermatology036073084ILLINOISNo
3207NS0135XDermatologyProcedural Dermatology036102194ILLINOISNo
4207NS0135XDermatologyProcedural Dermatology036111358ILLINOISNo
5207NS0135XDermatologyProcedural Dermatology036059380ILLINOISYes

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 Other Provider Identifier Issuer
1I43875MEDICARE UPINILLINOIS
2B54301MEDICARE UPINILLINOIS
3C25911MEDICARE UPINILLINOIS
4H16889MEDICARE UPINILLINOIS
5C43141MEDICARE UPINILLINOIS

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: 11/21/2025

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