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Deactivated NPI 1073565867 Deactivated / Inactive NPI Female Practitioner

Dr. Mariana Glusman , MD

Pediatrics • Chicago, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mariana Glusman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 17, 2006
NPI Deactivation Date July 17, 2007
Total Practice Duration ~1 Years of Practice (2006 – 2007)

Professional Overview & Biography Verified Profile Summary

Dr. Mariana Glusman, MD was a registered Pediatrics practicing in Chicago, IL. Throughout an active medical career spanning 1 years, Dr. Glusman provided care at the practice location at 4867 N BROADWAY AVE until profile deactivation on 2007-07-17.

Practice Location & Contact Primary Location

Practice Address

4867 N Broadway Ave

Chicago, IL 60640

Telephone 7735616640
Fax 7735064651
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.4 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
1180 Specialists

Practicing in Chicago, IL (3277 Statewide)

Telehealth Adoption Rate
0.3% 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1518916220

MDMPH

NPI 1619930278

MDMPH

NPI 1659320356

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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Updated Practice Location January 18, 2008

Registered at 4867 N BROADWAY AVE, CHICAGO, IL 60640 (Tel: 7735616640)

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Updated Business Mailing Address January 18, 2008

Registered at 4867 N BROADWAY ST, CHICAGO, IL 606403603 (Tel: 7735616640)

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Provider Name / Credentials Updated January 18, 2008

Recorded as MARIANA GLUSMAN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2008

Pediatrics

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NPI Profile Reactivated January 02, 2008

Record officially reactivated for active practice on January 02, 2008

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NPI Profile Deactivated July 17, 2007

Record deactivated on July 17, 2007

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Initial NPI Registration & Enumeration May 17, 2006

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: 1073565867
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2006
Last Update: January 18, 2008
Deactivation Date: July 17, 2007
Sole Proprietor: No

Mailing Address

4867 N Broadway St

Chicago, IL 606403603

Phone: 7735616640

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

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