Robert Ethan Applebaum, M.D.
Individual provider Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Blue Island, IL
NPI 1477553188 · NPPES record last updated Feb 6, 2026
Key facts
- NPI
- 1477553188
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- License
- 036074981 (IL)
- Practice address
- 2310 York St Ste 3a
Blue Island, IL 60406-2411 - Phone
- (708) 986-4675
- Fax
- (773) 341-2933
- NPI assigned
- Jul 22, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036074981 | IL | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 01035864A | IN | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiothoracic & Vascular Surgical Associates S C | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past |
Accepting new patients |
| Heart Care Centers of Illinois, SC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 036074981 | IL | Yes |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 01035864A | IN |
Addresses
Primary practice location
2310 York St Ste 3a
Blue Island, IL 60406-2411
Mailing address
2310 York St Ste 3a
Blue Island, IL 60406-2411
Phone (708) 986-4675
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200269990C | Medicaid | IN | |
| 200269990D | Medicaid | IN | |
| 036074981 | Medicaid | IL | |
| 01618941 | Other | IL | BCBS |
| 200269990A | Medicaid | IN | |
| 200269990E | Medicaid | IN |
Other names
- Rob Applebaum
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- Kristin Marie Andrews
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All providers in Blue Island, IL · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.