Robert Robbins

Individual provider Active NPI Veterinarian · Plano, IL

NPI 1992190441 · NPPES record last updated Apr 1, 2015

Key facts

NPI
1992190441
Entity type
Individual (NPI type 1)
Primary specialty
Veterinarian 174M00000X
License
090007361 (IL)
Practice address
4287 Eldamain Rd
Plano, IL 60545-9711
Phone
(630) 552-7804
Fax
(630) 552-3461
NPI assigned
Apr 1, 2015
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
090007361ILMDVeterinarian
4110WIMDVeterinarian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 090007361 IL Yes
Veterinarian 174M00000X 4110 WI

Addresses

Primary practice location

4287 Eldamain Rd
Plano, IL 60545-9711

Mailing address

4287 Eldamain Rd
Plano, IL 60545-9711
Phone (630) 552-7804

Other providers in Plano, IL

All providers in Plano, IL · Veterinarian in Illinois

Sources for this page

Verify at the official NPI Registry.