Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Glen D Souza, MD

Individual provider Otolaryngology Physician · NPI 1962248211

Dr. Glen D Souza, MD is an Otolaryngology Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1611 W Harrison St Ste 550
Chicago, IL 60612-4861
Phone: (312) 942-6100
Fax: (312) 942-6653
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 085013 (IL)

Record details

NPI number1962248211
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2024
Last updated in NPPESJuly 6, 2024
Certification dateJuly 6, 2024

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