Provider Demographics
NPI:1508819046
Name:GLAUS ENTERPRISES INC
Entity Type:Organization
Organization Name:GLAUS ENTERPRISES INC
Other - Org Name:NW SPINE & HEALTHCARE GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:GLAUS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-227-6841
Mailing Address - Street 1:118 W NORTHWEST HWY
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-3558
Mailing Address - Country:US
Mailing Address - Phone:847-776-9700
Mailing Address - Fax:847-776-9705
Practice Address - Street 1:118 W. NORTHWEST HIGHWAY
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067
Practice Address - Country:US
Practice Address - Phone:847-776-9700
Practice Address - Fax:847-776-9705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2023-02-20
Deactivation Date:2021-06-08
Deactivation Code:
Reactivation Date:2021-11-28
Provider Licenses
StateLicense IDTaxonomies
IL038009999111N00000X
IL038009103111N00000X
IL038009702111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK09128Medicare ID - Type UnspecifiedMEDICARE INDIVIDUAL
ILV01060Medicare UPIN
ILU86744Medicare UPIN
ILK15631Medicare PIN
IL209703Medicare ID - Type UnspecifiedMEDICARE GROUP
ILU65853Medicare UPIN