Individual provider Active NPI

Robert Block, MD

  • Internal Medicine Physician
  • Highland Park, IL
National Provider Identifier
1316915192
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036047639 Issued in IL
Practice address
1777 Green Bay Rd
Suite 201
Highland Park, IL 60035-3297
Phone
(847) 433-3460
Fax
(847) 433-4062
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036047639 IL Primary

Addresses

Primary practice location

1777 Green Bay Rd
Suite 201
Highland Park, IL 60035-3297

Mailing address

1777 Green Bay Rd
Suite 201
Highland Park, IL 60035-3297
Phone (847) 433-3460

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ravinia Associates in Internal Medicine, LTD Current Accepting new patients
Barry R. Goldberg, M.D. LLC Internal Medicine Past Accepting new patients
Endeavor Health Medical Group Internal Medicine Past Accepting new patients

Locations

1777 Green Bay Rd
Fl 2
Highland Park, IL 60035
Phone (847) 433-1709

1777 Green Bay Rd
#201
Highland Park, IL 60035
Phone (847) 433-3460

3705 Deerfield Rd
Riverwoods, IL 60015
Phone (847) 459-1200

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1316915192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 GREEN BAY RD",
            "address_2": "SUITE 201",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353297",
            "telephone_number": "847-433-3460",
            "fax_number": "847-433-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 GREEN BAY RD",
            "address_2": "SUITE 201",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353297",
            "telephone_number": "847-433-3460",
            "fax_number": "847-433-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036047639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.