Provider Demographics
NPI:1598995870
Name:GLYNN, SHARI BETH (DO)
Entity Type:Individual
Prefix:DR
First Name:SHARI
Middle Name:BETH
Last Name:GLYNN
Suffix:
Gender:F
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:100 ABBOTT PARK ROAD
Mailing Address - Street 2:C/O ABBOTT LABORATORIES: AP6D/DEPT. 058P
Mailing Address - City:ABBOTT PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60064-6035
Mailing Address - Country:US
Mailing Address - Phone:847-937-7043
Mailing Address - Fax:847-937-1313
Practice Address - Street 1:100 ABBOTT PARK ROAD
Practice Address - Street 2:C/O ABBOTT LABORATORIES: AP6D/DEPT. 058P
Practice Address - City:ABBOTT PARK
Practice Address - State:IL
Practice Address - Zip Code:60064-6035
Practice Address - Country:US
Practice Address - Phone:847-937-7043
Practice Address - Fax:847-937-1313
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL0360837682083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine