Individual provider · Type 1 NPI

Glen Coulomb, MD

Vascular Surgery Physician · Naperville, IL

NPI number 1396705489 Active

Practice location

801 S Washington St
Naperville, IL 60540-7430

Call (630) 281-2670 Map

Fax (815) 327-2475

Mailing address

1919 S Highland Ave, Ste B202
Lombard, IL 60148-6153

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129X036063012 (IL)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1396705489

Glen Coulomb, MD's National Provider Identifier is 1396705489, issued on Mar 24, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Naperville, IL. The record was last updated on Feb 22, 2011.