Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184617086 Individual Practitioner Male Practitioner

Dr. Glen S Babich , MD

General Practice • Belleville, IL

Professional Overview & Biography Verified Profile Summary

Dr. Glen Babich, MD is a registered healthcare professional specializing in General Practice in Belleville, IL. Practice services are available at 813 STONE CREEK LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

813 Stone Creek Ln

Belleville, IL 622232655

Telephone 6159730026
Fax 6182137168

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Belleville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 39.0 Yrs
State Avg: 30.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Belleville, IL (355 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-25
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MO MD2002010249

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License AZ 47521

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License AR E-6244

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License ID M-9700

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License IL 036-114518

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License KS 04-37037

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License TN MD0000027058

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License IN 01077201A

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Secondary Practice Locations

950 N Kingshighway

East Saint Louis, IL 622031085

Phone: 2247249143

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 25, 2020

Registered at 813 STONE CREEK LN, BELLEVILLE, IL 622232655 (Tel: 6159730026)

📍
Updated Business Mailing Address June 25, 2020

Registered at 813 STONE CREEK LN, BELLEVILLE, IL 622232655 (Tel: 6159730026)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2020

General Practice (License #E-6244 in AR)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 300 E PEDRO SIMMONS DR, CHARLESTON, MO 638341347 (Tel: 5736834409)

📍
Updated Business Mailing Address July 09, 2007

Registered at 941 E MALONE AVE, # 218, SIKESTON, MO 638013213 (Tel: 5737031365)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as GLEN BABICH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

General Practice (License #MD2002010249 in MO)

🟢
Initial NPI Registration & Enumeration August 25, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184617086
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2005
Last Update: June 25, 2020
Sole Proprietor: Yes

Mailing Address

813 Stone Creek Ln

Belleville, IL 622232655

Phone: 6159730026

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.