Active NPI
Robert Emil Thurman Jr., LCSW
- Clinical Social Worker
- Hazel Crest, IL
National Provider Identifier
1205049194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-007753
- Practice address
- 3330 W 177TH St Ste 1F
Hazel Crest, IL 60429-2186 - Phone
- (646) 844-8999
- Fax
- (773) 799-1889
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149-007753 | IL | Primary |
Addresses
Primary practice location
3330 W 177TH St Ste 1F
Hazel Crest, IL 60429-2186
Mailing address
18303 Robin LN
Homewood, IL 60430-2856
Phone (646) 844-8999
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12278316 | Other | IL | MULTIPLAN |
| 1634964 | Other | IL | BLUE CROSS BLUE SHIELD IL |
| 521834 | Other | IL | VALUEOPTIONS |
| 55900C | Other | IL | PSYCHEALTH |
| 316653 | Other | IL | MHN MANAGED HEALTH NETWOR |
| 784444000 | Other | IL | MAGELLAN |
| T9190 | Other | IL | APS |
| 9367411 | Other | IL | PHCS PRIVATE HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050308000109 | IL | Practitioner - Clinical Social Worker | 2567416183 | Practice locations: Hazel Crest, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3330 W 177TH St
Suite 1F
Hazel Crest, IL 60429-2186
Phone (773) 653-9467
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149-007753 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Family and Community Resources PC | Current | Accepting new patients | |
| A Ok Testing LLC | Past | Accepting new patients | |
| Access Counseling Center | Clinical | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Hazel Crest, IL
- NPI 1427690676
-
- Clinical Social Worker
- Hazel Crest, IL
- NPI 1962616904
-
- Clinical Medical Laboratory
- Bolingbrook, IL
- NPI 1114676970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1205049194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18303 ROBIN LN",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302856",
"telephone_number": "646-844-8999",
"fax_number": "312-575-1280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 W 177TH ST STE 1F",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604292186",
"telephone_number": "646-844-8999",
"fax_number": "773-799-1889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THURMAN",
"first_name": "ROBERT",
"middle_name": "EMIL",
"name_suffix": "Jr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-007753",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "12278316",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD IL",
"identifier": "1634964",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "521834",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHEALTH",
"identifier": "55900C",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN MANAGED HEALTH NETWOR",
"identifier": "316653",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "784444000",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APS",
"identifier": "T9190",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS PRIVATE HEALTH CARE",
"identifier": "9367411",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hazel Crest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.