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Scott D. Glazer, M.D., S.C.

NPI 1215151857ActiveOrganization· Dermatology, Procedural Dermatology· Buffalo Grove, IL

Dermatology, Procedural Dermatology in Buffalo Grove, Illinois, registered in NPPES in April 2007. The authorized official on file is Jill A. Sutherland, CPC-D, Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1215151857
StatusActive
Entity typeOrganization
NPI issuedApr 13, 2007
Last updated in NPPESMay 20, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Dermatology, Procedural Dermatology Primary207NS0135X036059380IL
Dermatology207N00000X036059380IL
Dermatology207N00000X036073084IL
Dermatology207N00000X036102194IL
Dermatology207N00000X036111358IL
Dermatology, Clinical & Laboratory Dermatological Immunology207NI0002X036059380IL
Dermatology, Clinical & Laboratory Dermatological Immunology207NI0002X036073084IL
Dermatology, Clinical & Laboratory Dermatological Immunology207NI0002X036102194IL
Dermatology, Clinical & Laboratory Dermatological Immunology207NI0002X036111358IL
Dermatology, Procedural Dermatology207NS0135X036073084IL
Dermatology, Procedural Dermatology207NS0135X036102194IL
Dermatology, Procedural Dermatology207NS0135X036111358IL
Dermatology, Procedural Dermatology207NS0135X036062019IL
Internal Medicine207R00000X036062967IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (IL)

Medicare sources and data years

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