Provider Demographics
NPI:1427847862
Name:GLASDER, KATHLEEN T (APRN)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:T
Last Name:GLASDER
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:T
Other - Last Name:HICKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1555 N BARRINGTON RD
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-1019
Mailing Address - Country:US
Mailing Address - Phone:847-885-4100
Mailing Address - Fax:
Practice Address - Street 1:1555 N BARRINGTON RD STE 1200
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-5036
Practice Address - Country:US
Practice Address - Phone:847-885-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209031447363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily