MR. GLEN DWAYNE GERDES (MS, ATC) – Athletic Trainer, NPI 1205993227
Athletic Trainer
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. GLEN DWAYNE GERDES (MS, ATC)
Condell Memorial Hospital, 801, South Milwaukee Avenue, Libertyville, Lake, Illinois, 60048, United States
LIBERTYVILLE, IL 600483204
Phone: (847) 990-5779
Type: Location
630, Tallgrass Lane, Lake Villa, Lake County, Illinois, 60046, United States
LAKE VILLA, IL 600466632
Phone: (847) 265-4113
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60048)
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