Robert Reynolds Edger, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036069216 Issued in IL

Practice address

3122 N. Sheridan Rd. Suite 2B
Chicago, IL 60657-1708

Phone

(312) 209-1123

Fax

(312) 988-9215

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lavoll and Edger, S.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1306932751
  NPD Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326193293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 N. SHERIDAN RD. SUITE 2B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571708",
            "telephone_number": "312-209-1123",
            "fax_number": "312-988-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 N. SHERIDAN RD. SUITE 2B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571708",
            "telephone_number": "312-209-1123",
            "fax_number": "312-988-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGER",
        "first_name": "ROBERT",
        "middle_name": "REYNOLDS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036069216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa Ann Edge, MA, LCPC
• Edgebrook Chiropractic Health Center
• Edgebrook Foot & Ankle Clinic, Inc
• Edgebrook Open MRI Inc
• Edgebrook Vision Center LLC
• Cole Dreskin Edgerton
• Edgewater Beach Foot and Ankle Center, P.C.
• Edgewater Chiropractic LLC
• Edgewater Rehabilitation Center
• Edgewater Satellite Senior Center

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.