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DR. ETHAN PHARES GLASER MD, PHD
NPI 1497559041
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since April 02, 2025PECOS Enrolled
5841 S MARYLAND AVE STE MC7082, CHICAGO, IL 60637(773) 702-6840 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2025, Apr 2, 2025 (2 updates tracked since 2025).

About Dr. Ethan Phares Glaser Md, Phd NPPES

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

DR. ETHAN PHARES GLASER MD, PHD (NPI 1497559041) is an individual student in an organized health care education/training program in Chicago, Illinois, licensed in Illinois (125085584) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497559041
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ETHAN PHARES GLASERCredential: MD, PHD
Location Address5841 S MARYLAND AVE STE MC7082Chicago, IL 60637-1465
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Phone(773) 702-6840
Sole ProprietorYes
Enumeration DateApril 2, 2025
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1497559041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IL · 125085584
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5841 S MARYLAND AVE STE MC7082, Chicago, IL 60637
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ethan Phares Glaser Md, Phd 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.

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.

SARAH JARJOUR
Internal Medicine
5841 S MARYLAND AVE STE MC7082
CHICAGO, IL 60637
Cook County (773) 795-0232
ABSON MADOLA JR. MD
Internal Medicine
5841 S MARYLAND AVE STE MC7082
CHICAGO, IL 60637
Cook County (773) 702-6840
DR. SHREE BOSE MD, PHD
Internal Medicine
5841 S MARYLAND AVE STE MC7082
CHICAGO, IL 60637
Cook County (773) 702-6840
YASMEEN ALEXANDER MURTAZA MD
Internal Medicine
5841 S MARYLAND AVE STE MC7082
CHICAGO, IL 60637
Cook County (773) 702-6840
DR. ANKUR SRIVASTAVA
Internal Medicine
5841 S MARYLAND AVE STE MC7082
CHICAGO, IL 60637
Cook County (773) 702-6840
MEAGAN MATUSKA
Student in an Organized Health Care Education/Training Program
5841 S MARYLAND AVE STE MC7082
CHICAGO, IL 60637
Cook County (773) 702-6840
DANIELA ROSE ANDERSON M.D.
Internal Medicine
5841 S MARYLAND AVE STE MC7082
CHICAGO, IL 60637
Cook County (773) 702-0309
BRIANNA LAMBERT MD
Internal Medicine
5841 S MARYLAND AVE STE MC7082
CHICAGO, IL 60637
Cook County (773) 702-6840

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 Ethan Glaser's NPI number?

The NPI number for Ethan Glaser is 1497559041. It was assigned to this individual provider in the NPPES registry on April 2, 2025.

Where is Ethan Glaser located?

Ethan Glaser practices at 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637. The listed phone number is (773) 702-6840.

What is Ethan Glaser's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ethan Glaser enrolled in Medicare?

Yes. Ethan Glaser is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Glaser was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.