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MIRYL GLENNER PA-C
NPI 1184102857
Physician Assistant in Chicago, IL

Active since August 03, 2018
680 N LAKE SHORE DR, CHICAGO, IL 60611(312) 288-6420 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 7, 2023, Aug 3, 2018 (2 updates tracked since 2018).

About Miryl Glenner Pa-c NPPES

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

MIRYL GLENNER PA-C (NPI 1184102857) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085.006685) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1184102857
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMIRYL GLENNERCredential: PA-C
Location Address680 N LAKE SHORE DRChicago, IL 60611-4546
Mailing Address6730 N Francisco AveChicago, IL 60645-4316 · (773) 849-9789
Phone(312) 288-6420
Sole ProprietorYes
Enumeration DateAugust 3, 2018
Last NPPES UpdateDecember 7, 20232 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
✔ NPI 1184102857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085.006685
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
680 N LAKE SHORE DR, Chicago, IL 60611
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Other Providers at the Same Location NPPES 20

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

MRS. BONNIE DEVROE MALIK CRNA
Nurse Anesthetist, Certified Registered
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797
IMG MD, LLC
Medical Genetics, Ph.D. Medical Genetics
680 N LAKE SHORE DR
CHICAGO, IL 60611
Cook County (312) 981-4400
DR. JAY MICHAEL PENSLER M.D.
Specialist
680 N LAKE SHORE DR, SUITE 1125
CHICAGO, IL 60611
Cook County (312) 642-7777
JAY PRYSTOWSKY MD
Surgery
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797
ANURADHA PERNI MD
Anesthesiology (Pain Medicine)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797
GYNECOLOGIC SPECIALISTS OF NORTHWESTERN, S.C.
Obstetrics & Gynecology (Gynecology)
680 N LAKE SHORE DR, SUITE117
CHICAGO, IL 60611
Cook County (312) 654-1166
DR. LEANNE TRAPP BENSKO M.D.
Pediatrics
680 N LAKE SHORE DR, 1050
CHICAGO, IL 60611
Cook County (312) 642-5515
DR. JULIA GOLDIN DNP
Nurse Practitioner (Family)
680 N LAKE SHORE DR
CHICAGO, IL 60611
Cook County (312) 965-6868

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 Miryl Glenner's NPI number?

The NPI number for Miryl Glenner is 1184102857. It was assigned to this individual provider in the NPPES registry on August 3, 2018.

Where is Miryl Glenner located?

Miryl Glenner practices at 680 N Lake Shore Dr, Chicago, IL 60611. The listed phone number is (312) 288-6420.

What is Miryl Glenner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Miryl Glenner was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.