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

Glenn F Carlson Jr., MD

Individual provider Internal Medicine Physician · NPI 1225913429

Glenn F Carlson Jr., MD is an Internal Medicine Physician in LA Grange Park, 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.

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Practice location Address checks out

717 N Waiola Ave
LA Grange Park, IL 60526-1451
Phone: (610) 563-7515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036.073913 (IL)

Record details

NPI number1225913429
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 7, 2025
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

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