SAVANNAH ROSE GLAZER
NPI 1053089318
Nurse Practitioner - Pediatrics in Park Ridge, IL

Q: What is Savannah Glazer's NPI number?

The NPI number for Savannah Glazer is 1053089318. It was assigned to this individual provider in the NPPES registry on September 1, 2021.

Q: What is Savannah Glazer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Savannah Glazer was last updated on April 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 01, 2021PECOS Enrolled

1675 DEMPSTER ST, PARK RIDGE, IL 60068(201) 410-1640 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Savannah Rose Glazer NPPES

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

SAVANNAH ROSE GLAZER (NPI 1053089318) is an individual pediatrics provider in Park Ridge, Illinois, licensed in Illinois (209022345) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053089318

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSAVANNAH ROSE GLAZER

Location Address1675 DEMPSTER STPark Ridge, IL 60068-1110

Mailing Address1930 W Potomac AveChicago, IL 60622-3149 · (201) 410-1640

Phone(201) 410-1640

Sole ProprietorNo

Enumeration DateSeptember 1, 2021

Last NPPES UpdateApril 20, 2022

NPPES CertifiedApril 20, 2022

✔ NPI 1053089318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in IL · 209022345

1675 DEMPSTER ST, Park Ridge, IL 60068

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Savannah Rose Glazer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.