Provider Demographics
NPI:1811080492
Name:FOY, GLENDA E (BS, DC)
Entity type:Individual
Prefix:DR
First Name:GLENDA
Middle Name:E
Last Name:FOY
Suffix:
Gender:F
Credentials:BS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 SE THIRD STREET
Mailing Address - Street 2:
Mailing Address - City:ALEDO
Mailing Address - State:IL
Mailing Address - Zip Code:61231
Mailing Address - Country:US
Mailing Address - Phone:309-582-2222
Mailing Address - Fax:309-582-2121
Practice Address - Street 1:301 SE THIRD STREET
Practice Address - Street 2:
Practice Address - City:ALEDO
Practice Address - State:IL
Practice Address - Zip Code:61231
Practice Address - Country:US
Practice Address - Phone:309-582-2222
Practice Address - Fax:309-582-2121
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL6682003OtherBLUECROSS PROVIDER NUMBER
IL6682003OtherBLUECROSS PROVIDER NUMBER