MRS. EILEEN H GLENN L.C.P.C.
NPI 1003823519
Counselor - Professional in Evanston, IL

Active since August 01, 2006Opted out of Medicare · through Jan 4, 2028
708 CHURCH ST STE 247, EVANSTON, IL 60201(847) 733-9661(847) 733-1571 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Eileen H Glenn L.c.p.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. EILEEN H GLENN L.C.P.C. (NPI 1003823519) is an individual professional provider in Evanston, Illinois and active in the NPI registry since August 2006. She has opted out of Medicare through January 4, 2028.

NPPES Registry Identity

NPI1003823519
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. EILEEN H GLENNCredential: L.C.P.C.
Location Address708 CHURCH ST STE 247Evanston, IL 60201-3840
Mailing Address2209 Dodge AveEvanston, IL 60201-3012 · (847) 372-3736 · Fax (847) 733-1571
Fax(847) 733-1571
Sole ProprietorYes
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1003823519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
708 CHURCH ST STE 247, Evanston, IL 60201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mrs. Eileen H Glenn L.c.p.c. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 4, 2024 through January 4, 2028.

Opt-Out Effective DateJanuary 4, 2024
Opt-Out In Effect ThroughJanuary 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
708 CHURCH ST STE 247
EVANSTON, IL 60201
Social Worker (Clinical)
708 CHURCH ST STE 247
EVANSTON, IL 60201
Counselor (Professional)
708 CHURCH ST STE 247
EVANSTON, IL 60201
Counselor (Professional)
708 CHURCH ST STE 247
EVANSTON, IL 60201
Counselor (Professional)
708 CHURCH ST STE 247
EVANSTON, IL 60201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eileen Glenn's NPI number?

The NPI number for Eileen Glenn is 1003823519. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Eileen Glenn located?

Eileen Glenn practices at 708 Church St Ste 247, Evanston, IL 60201. The listed phone number is (847) 733-9661.

What is Eileen Glenn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Eileen Glenn enrolled in Medicare?

No. Eileen Glenn has opted out of Medicare through January 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Eileen Glenn was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.