Provider Demographics
NPI:1639596802
Name:NEW GLANCE LTD
Entity Type:Organization
Organization Name:NEW GLANCE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HERMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIGRIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-476-6922
Mailing Address - Street 1:7741 S WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60620-5821
Mailing Address - Country:US
Mailing Address - Phone:773-476-6922
Mailing Address - Fax:
Practice Address - Street 1:7741 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60620-5821
Practice Address - Country:US
Practice Address - Phone:773-476-6922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory