Active NPI 1154347128 Individual Practitioner Male Practitioner

Dr. Michael E Glickman , MD

Internal Medicine • Mount Prospect, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Glickman, MD is a certified Internal Medicine practicing in Mount Prospect, IL. With approximately 25 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 2001, Dr. Glickman delivers high-quality medical care to the local community at 199 W RAND RD STE 203.

Dr. Glickman is affiliated with Endeavor Health Medical Group and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

199 W Rand Rd Ste 203

Mount Prospect, IL 600561157

Telephone 8476185450

Fax 8476185459

Associated Practice Facility / Clinic

🏢 Northwest Community Health Services Inc Facility NPI 1205107588

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Mount Prospect, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs -1.5 yrs vs City Avg

City Avg: 26.5 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

12 Specialists

Practicing in Mount Prospect, IL (7544 Statewide)

Telehealth Adoption Rate

58.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

52.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Glickman (25 Years) 25 Yrs

Mount Prospect Specialty Average (26.5 Years) 26.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	325	325	$283.00	$137.12
99213 Established patient office or other outpatient visit, typically 15 minutes	305	214	$175.00	$95.55
93000 Routine ekg using at least 12 leads including interpretation and report	181	179	$80.00	$15.20
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	151	111	$35.00	$17.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	79	$246.00	$135.35
99442 Telephone medical discussion with physician, 11-20 minutes	62	46	$184.00	$95.63
99495 Transitional care management services for problem of at least moderate complexity	54	43	$419.00	$217.33
G0008 Administration of influenza virus vaccine	50	50	$66.00	$33.69
90662 Influenza vaccine split virus, preservative free	46	46	$140.00	$81.17
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	44	33	$195.00	$56.48
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	32	21	$151.00	$43.93
G0009 Administration of pneumococcal vaccine	16	16	$48.00	$33.70
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	12	12	$629.00	$290.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	422	255	$175.00	$95.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	361	361	$283.00	$136.97
93000 Routine ekg using at least 12 leads including interpretation and report	237	226	$80.00	$15.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	92	$246.00	$135.73
G0008 Administration of influenza virus vaccine	87	87	$48.00	$32.31
90662 Influenza vaccine split virus, preservative free	83	83	$140.00	$71.85
99495 Transitional care management services for problem of at least moderate complexity	80	70	$419.00	$215.93
99442 Telephone medical discussion with physician, 11-20 minutes	72	60	$184.00	$94.98
G0009 Administration of pneumococcal vaccine	39	39	$48.00	$31.49
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	35	28	$195.00	$55.08
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	30	30	$709.00	$281.28
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	23	23	$381.00	$168.19
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	17	11	$151.00	$44.03
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$404.00	$176.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	559	351	$144.15	$97.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	345	345	$300.32	$140.03
93000 Routine ekg using at least 12 leads including interpretation and report	257	246	$80.00	$15.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	108	$214.19	$137.18
G0008 Administration of influenza virus vaccine	107	107	$40.69	$28.97
90662 Influenza vaccine split virus, preservative free	100	100	$125.30	$68.51
99495 Transitional care management services for problem of at least moderate complexity	64	54	$337.48	$221.46
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	56	48	$195.00	$56.87
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	55	55	$422.89	$179.39
99442 Telephone medical discussion with physician, 11-20 minutes	29	28	$183.97	$95.85
G0009 Administration of pneumococcal vaccine	28	28	$30.75	$26.34
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$427.64	$179.71
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$225.06	$131.82
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	14	14	$709.00	$278.05
69209 Removal of impacted ear wax by washing	13	13	$40.69	$17.83
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	13	11	$151.00	$44.12
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	13	13	$80.00	$15.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	708	450	$132.00	$98.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	403	403	$308.00	$143.23
93000 Routine ekg using at least 12 leads including interpretation and report	264	255	$80.00	$16.18
G0008 Administration of influenza virus vaccine	135	135	$25.00	$17.94
90662 Influenza vaccine split virus, preservative free	130	130	$91.00	$65.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	96	$207.00	$139.56
99306 Initial nursing facility visit, typically 45 minutes per day	56	55	$309.00	$178.46
99495 Transitional care management services for problem of at least moderate complexity	53	47	$308.00	$221.82
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	41	32	$195.00	$57.18
G0009 Administration of pneumococcal vaccine	38	38	$25.00	$17.91
36415 Insertion of needle into vein for collection of blood sample	29	23	$15.00	$3.00
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	21	21	$206.00	$125.35
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$444.00	$181.48
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	19	17	$249.00	$138.66
90670 Pneumococcal vaccine for injection into muscle	16	16	$433.00	$239.27
69209 Removal of impacted ear wax by washing	13	13	$37.69	$17.76
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	12	12	$80.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	501	300	$132.00	$80.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	350	350	$308.62	$124.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	236	151	$207.00	$116.04
93000 Routine ekg using at least 12 leads including interpretation and report	220	213	$80.00	$18.57
G0008 Administration of influenza virus vaccine	140	140	$25.00	$17.66
90662 Influenza vaccine split virus, preservative free	137	137	$91.00	$60.58
36415 Insertion of needle into vein for collection of blood sample	69	47	$15.00	$2.98
99495 Transitional care management services for problem of at least moderate complexity	61	55	$308.00	$198.24
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	53	50	$195.00	$56.59
71045 X-ray of chest, 1 view	53	50	$28.72	$17.58
99306 Initial nursing facility visit, typically 45 minutes per day	49	48	$309.00	$179.63
G0009 Administration of pneumococcal vaccine	42	42	$25.00	$17.58
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	36	36	$249.00	$138.36
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	30	17	$151.00	$43.90
90670 Pneumococcal vaccine for injection into muscle	21	21	$433.00	$225.42
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	21	21	$206.00	$117.26
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$455.35	$183.40
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$444.00	$178.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$95.00	$41.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	493	304	$132.00	$79.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	400	400	$309.00	$123.79
93000 Routine ekg using at least 12 leads including interpretation and report	280	273	$80.00	$18.32
99306 Initial nursing facility visit, typically 45 minutes per day	218	201	$309.00	$178.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	121	$207.00	$115.67
G0008 Administration of influenza virus vaccine	136	135	$25.00	$17.33
90662 Influenza vaccine split virus, preservative free	114	114	$91.00	$54.89
85610 Blood test, clotting time	108	20	$37.00	$4.28
99495 Transitional care management services for problem of at least moderate complexity	83	60	$308.00	$174.10
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	69	57	$195.00	$56.78
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	61	56	$249.00	$139.49
G0009 Administration of pneumococcal vaccine	59	59	$25.00	$17.33
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	45	29	$105.00	$73.67
90670 Pneumococcal vaccine for injection into muscle	40	40	$433.00	$206.27
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	33	22	$151.00	$43.71
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	25	18	$161.00	$98.08
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	23	17	$82.00	$47.03
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$206.00	$109.91
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	22	22	$46.00	$18.65
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$444.00	$176.98
36415 Insertion of needle into vein for collection of blood sample	17	16	$15.00	$2.94
90471 Administration of 1 vaccine	15	15	$27.00	$17.66
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$457.00	$182.88
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	13	13	$87.00	$32.08
99497 Advance care planning, first 30 minutes	12	11	$229.00	$91.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	623	351	$132.00	$76.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	377	377	$309.00	$122.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	316	186	$207.00	$113.13
93000 Routine ekg using at least 12 leads including interpretation and report	283	263	$80.00	$18.13
99306 Initial nursing facility visit, typically 45 minutes per day	231	208	$309.00	$176.13
G0008 Administration of influenza virus vaccine	178	175	$25.00	$21.31
90662 Influenza vaccine split virus, preservative free	118	118	$91.00	$52.30
G0009 Administration of pneumococcal vaccine	109	109	$25.00	$21.31
99495 Transitional care management services for problem of at least moderate complexity	103	79	$308.00	$172.13
85610 Blood test, clotting time	94	26	$37.00	$4.75
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	83	56	$161.00	$96.93
90670 Pneumococcal vaccine for injection into muscle	78	78	$433.00	$197.41
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	75	39	$105.00	$73.42
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	66	56	$195.00	$56.70
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	60	57	$46.00	$18.65
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	38	22	$151.00	$43.77
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	32	32	$206.00	$105.59
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	27	11	$54.00	$22.52
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	25	25	$444.00	$167.47
99316 Nursing facility discharge management, more than 30 minutes	22	21	$236.00	$112.34
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	19	19	$87.00	$30.84
90471 Administration of 1 vaccine	19	19	$27.00	$21.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	660	369	$132.00	$76.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	355	355	$309.00	$121.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	331	199	$207.00	$112.40
93000 Routine ekg using at least 12 leads including interpretation and report	256	245	$80.00	$18.07
G0008 Administration of influenza virus vaccine	207	204	$25.00	$24.50
85610 Blood test, clotting time	146	28	$37.00	$5.28
90662 Influenza vaccine split virus, preservative free	117	117	$91.00	$47.64
G0009 Administration of pneumococcal vaccine	95	95	$25.00	$24.50
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	91	29	$105.00	$73.05
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	89	88	$46.00	$18.65
99495 Transitional care management services for problem of at least moderate complexity	82	70	$308.00	$169.20
99306 Initial nursing facility visit, typically 45 minutes per day	82	77	$309.00	$175.81
90670 Pneumococcal vaccine for injection into muscle	71	71	$433.00	$184.15
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	57	51	$195.00	$56.73
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	48	29	$161.00	$96.40
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	46	15	$54.00	$21.05
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	25	25	$206.00	$95.13
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$444.00	$169.00
99316 Nursing facility discharge management, more than 30 minutes	12	11	$236.00	$112.08

Medical Specialties & State Licenses

CMS Verified: 2021-09-14

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 0360878691

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0360878691 (IL)

Hospital & Practice Group Affiliations

Endeavor Health Medical Group

15 S Mchenry Rd, Buffalo Grove, IL 600896705

Phone: 8475209424

Endeavor Health Medical Group

21481 N Rand Rd, Kildeer, IL 600473061

Phone: 8478667846

Endeavor Health Medical Group

1051 W Rand Rd, Arlington Heights, IL 600042315

Endeavor Health Medical Group

199 W Rand Rd, Mount Prospect, IL 600561151

Phone: 8476185400

Endeavor Health Medical Group

2650 Ridge Ave, Evanston, IL 602011700

Endeavor Health Medical Group

21481 N Rand Rd, Kildeer, IL 600473061

Phone: 8476189696

Endeavor Health Medical Group

1200 W Algonquin Rd, Palatine, IL 600677373

Phone: 8476180535

Secondary Practice Locations

800 W Central Rd

Arlington Heights, IL 600052349

Phone: 8476185075

Practice Associates & Co-Workers

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

27 Associated Practitioners

Dr. Andreas Seidler , MD

Internal Medicine

NPI 1063438034

Doctor of Medicine (M.D.)

Dr. Michelle Jurkonie , DO

Family Medicine

NPI 1073793964

Doctor of Osteopathic Medicine (D.O.)

Dr. Sheilendr Khipple , MD

Internal Medicine

NPI 1083773295

Doctor of Medicine (M.D.)

Jennifer Weirich , PA-C

Physician Assistant

NPI 1093110827

Physician Assistant (Certified)

Dr. Anne Viollt , MD

Family Medicine

NPI 1093197220

Doctor of Medicine (M.D.)

Dr. Hamza Salam , DO

Internal Medicine

NPI 1104404458

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location September 14, 2021

Registered at 199 W RAND RD STE 203, MOUNT PROSPECT, IL 600561157 (Tel: 8476185450)

📍

Updated Business Mailing Address September 14, 2021

Registered at 199 W RAND RD STE 203, MOUNT PROSPECT, IL 600561157 (Tel: 8476185450)

📍

Updated Practice Location March 05, 2020

Registered at 800 W OAKTON ST, ARLINGTON HEIGHTS, IL 600044602 (Tel: 8477543170)

📍

Updated Business Mailing Address March 05, 2020

Registered at 800 W OAKTON ST, ARLINGTON HEIGHTS, IL 600044602 (Tel: 8477543170)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1538 N ARLINGTON HEIGHTS ROAD, ARLINGTON HEIGHTS, IL 60004 (Tel: 8472536464)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1538 N ARLINGTON HEIGHTS ROAD, ARLINGTON HEIGHTS, IL 60004 (Tel: 8472536464)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL GLICKMAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #0360878691 in IL)

🟢

Initial NPI Registration & Enumeration July 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1154347128

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 14, 2006

Last Update: September 14, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

199 W Rand Rd Ste 203

Mount Prospect, IL 600561157

Phone: 8476185450

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.