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

Dr. Jonathan Shane Glickstein, MD

Individual provider Otolaryngology Physician · NPI 1598983371

Dr. Jonathan Shane Glickstein, MD is an Otolaryngology in Gibson City, Illinois. Graduated from University of Tennessee, Hsc, College of Medicine in 2002, 24 years ago. Practices with Gibson Community Hospital Association, a 159-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Minnesota.

Years since qualifying
24
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
IL, MN
In the registry since
2007
Specialties on file
2
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

1120 N Melvin St
Gibson City, IL 60936-1477
Phone: (217) 784-2212
Show map & directions

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

Additional practice locations (1)

  • 400 E 3rd St, Duluth, MN 55805-1951 — (218) 722-8364

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 036.154865 (IL)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 49523 (MN)

Record details

NPI number1598983371
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2007
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021
Mailing address1120 N Melvin St, Gibson City, IL 60936-1477

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Gibson Community Hospital Association — 159 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gibson City