Individual provider Active NPI

Robert G Vottero, MD

  • Emergency Medicine Physician
  • Lake Bluff, IL
National Provider Identifier
1902832025
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036071148 Issued in IL
Practice address
48 Moffett Rd
Lake Bluff, IL 60044-2810
Phone
(847) 363-4845
NPI assigned
Jun 23, 2006
Last updated
Dec 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036071148 IL Primary

Addresses

Primary practice location

48 Moffett Rd
Lake Bluff, IL 60044-2810

Mailing address

P O Box 960214
Oklahoma City, OK 73196-0001
Phone (877) 485-4474

Other identifiers 2

IdentifierTypeStateIssuer
036071148MedicaidIL
200474780MedicaidIN

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040603000187 IL Practitioner - Emergency MedicinePractitioner - Internal Medicine 1153303201 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of ClintonGroup PAC ID 0042203127, 19 clinicians
Epss LLC - East SeriesGroup PAC ID 8729213459, 11 clinicians

Practice addresses (Care Compare)

422 W White St
Clinton, IL 61727-2272
Phone (217) 935-9571

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mendota Community Hospital CurrentSince Aug 1, 2017 Accepting new patients
Pekin Memorial Hospital CurrentSince Jun 1, 2015 Accepting new patients
Pekin Memorial Hospital Current Accepting new patients
City of Clinton CurrentSince Mar 31, 2015 Accepting new patients
Mendota Community Hospital CurrentSince Aug 1, 2017 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 1, 2012 Accepting new patients
Epss LLC - Central Series Emergency Medicine CurrentSince Oct 1, 2017 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 1, 2012 Accepting new patients
Bloomington Medical Laboratory Physicians, S.C. Current Accepting new patients
City of Clinton CurrentSince Mar 31, 2015 Accepting new patients
K M B S C Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Sep 1, 2021 Accepting new patients
Illiana Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Midway Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Inphynet Primary Care Physicians Midwest, S.C. Emergency Medicine Past Accepting new patients
Prairie Emergency Group, LTD. Past Accepting new patients
Illiana Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Bestpractices of Illinois PC Emergency Medicine Past Accepting new patients
Central Illinois Neuroradiology, LTD Past Accepting new patients

Locations

2200 E Washington St
Bloomington, IL 61701
Phone (309) 661-5111

595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

75 Remittance Dr
Dept 1351
Chicago, IL 60675

75 Remittance Dr
Dept 1367
Chicago, IL 60675

75 Remittance Dr
Dept 6086
Chicago, IL 60675

422 W White St
Clinton, IL 61727
Phone (217) 935-9570

812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000

900 Garfield Ave
Libertyville, IL 60048
Phone (847) 362-2900

1401 E 12th St
Mendota, IL 61342
Phone (815) 539-7461

1404 Washington St
Mendota, IL 61342
Phone (815) 538-1825

1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

111 Spring St
Streator, IL 61364
Phone (815) 672-4587

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 22

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1902832025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 960214",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960001",
            "telephone_number": "877-485-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MOFFETT RD",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442810",
            "telephone_number": "847-363-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOTTERO",
        "first_name": "ROBERT",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036071148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036071148",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200474780",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Bluff, IL

Sources for this page

Verify at the official NPI Registry.