CHARLOTTE PEIWHA GLENN (MD) – Internal Medicine Physician, NPI 1194985986

CHARLOTTE PEIWHA GLENN (MD) is a healthcare provider. based in Elk grove village, Illinois. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 125053552 (IL). The NPI Number for CHARLOTTE PEIWHA GLENN (MD) is 1194985986

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
CHARLOTTE PEIWHA GLENN (MD)
NPI
1194985986
Phone
(847) 981-6061
Address
800 BIESTERFIELD RD
Enumeration Date
15 June 2008
Last Update Date
7 November 2016

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
8479816061
Graduation Year
2007 (19 years ago)
PAC ID
3971629072
Group Practice PAC ID
7618049479
Professional Enrollment ID
I20100927000585
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for CHARLOTTE PEIWHA GLENN (MD)

  • Alexian Brothers Medical Center, 800, Biesterfield Road, Elk Grove Village, Elk Grove Township, Cook County, Illinois, 60007, United States

    SUITE 705A

    ELK GROVE VILLAGE, IL 600073361

    Phone: (847) 981-6061

    Fax: (847) 981-6062

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100927000585IInternal MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60007)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618049479View full group profile
NameSpecialtyState
-IL

Reviews

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Frequently asked questions

What is the registry number for CHARLOTTE PEIWHA GLENN (MD)?
The registry entry for CHARLOTTE PEIWHA GLENN (MD) shows NPI 1194985986.
Should I treat CHARLOTTE PEIWHA GLENN (MD) as an active provider?
Patients and plans typically see CHARLOTTE PEIWHA GLENN (MD) as active in the national extract.
What services align with CHARLOTTE PEIWHA GLENN (MD)'s listing?
CHARLOTTE PEIWHA GLENN (MD)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is CHARLOTTE PEIWHA GLENN (MD) tied to Elk Grove Village, Illinois?
If you are local to Elk Grove Village, Illinois, CHARLOTTE PEIWHA GLENN (MD) may be relevant to your search.
Why is information missing for CHARLOTTE PEIWHA GLENN (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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