Robert Frank Hamilton, M.D.

Individual provider Active NPI Surgery Physician · Godfrey, IL

NPI 1205024601 · NPPES record last updated Oct 10, 2007

Key facts

NPI
1205024601
Entity type
Individual (NPI type 1)
Primary specialty
Surgery Physician 208600000X
Practice address
4003 Stoneledge CT
Godfrey, IL 62035-1160
Phone
(618) 466-4362
NPI assigned
Oct 10, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
336013180ILMDSurgery Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X IL Yes

Addresses

Primary practice location

4003 Stoneledge CT
Godfrey, IL 62035-1160

Mailing address

4003 Stoneledge CT
Godfrey, IL 62035-1160
Phone (618) 466-4362

Other providers in Godfrey, IL

All providers in Godfrey, IL · Surgery Physician in Illinois

Sources for this page

Verify at the official NPI Registry.