Individual provider · Type 1 NPI

Ethan Phares Glaser, MD, PhD

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1497559041 Active

Practice location

5841 S Maryland Ave Ste MC7082
Chicago, IL 60637-1465

Call (773) 702-6840 Map

Mailing address

180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X125085584 (IL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1497559041

Ethan Phares Glaser, MD, PhD's National Provider Identifier is 1497559041, issued on Apr 2, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on May 21, 2025.