IndividualActive
Alan Glatz, N.P.
NPI 1417187659 · Nurse Practitioner · Bloomington, IL
Provider details
- NPI number
- 1417187659
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- N.P.
- Sex
- Male
- Sole proprietor
- No
- License
- 041327580 (IL)
Practice location
1701 E College Ave
Bloomington, IL 61704-2101
Phone: (309) 664-3160
Fax: (309) 664-3344
Mailing address
1701 E College Ave
Bloomington, IL 61704-2101
Registry dates
- Enumerated
- 2009-07-22
- Last updated
- 2020-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.