Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ethan Phares Glaser, MD, PHD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497559041

Dr. Ethan Phares Glaser, MD, PHD is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

5841 S Maryland Ave Ste MC7082
Chicago, IL 60637-1465
Phone: (773) 702-6840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 125085584 (IL)

Record details

NPI number1497559041
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorYes
NPI enumeratedApril 2, 2025
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025

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