Robert Paul Dambrosio, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036119169 Issued in IL

Practice address

1864 Torrey Pkwy
Libertyville, IL 60048-1034

Phone

(847) 816-4658

NPI assigned

Jun 13, 2008

Sex

Male

Sole proprietor

Yes

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1497915391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1864 TORREY PKWY",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481034",
            "telephone_number": "847-816-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 TORREY PKWY",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481034",
            "telephone_number": "847-816-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMBROSIO",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036119169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa D'Andrea, PA-C
• Josephine J Dabhi, DDS DENTIST
• Brian E Dagel, CRNA
• Omar Dalloul, M.D.
• Joseph Dalton, PA-C
• Erin Danahy, LCSW
• Brian Patrick Danielewicz, D.D.S.
• Holden Danielewicz, DMD
• Jennifer Katherine Dannegger, OTR/L
• Darko Wellness Inc

• Family Medicine Physician in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.