Robert Owens MD Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036053016 Issued in IL

Legal business name

ROBERT OWENS MD CORPORATION

Practice address

326 W 64TH St
Chicago, IL 60621-3114

Phone

(312) 497-0772

Fax

(773) 955-3020

NPI assigned

Nov 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert Owens, M.D.NPI 1598707481

Title

Physician Owner

Phone

(312) 497-0772

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert C Owens, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1598707481
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1992950778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5139 S WOODLAWN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606153901",
            "telephone_number": "312-497-0772",
            "fax_number": "773-955-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 W 64TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213114",
            "telephone_number": "312-497-0772",
            "fax_number": "773-955-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT OWENS MD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "312-497-0772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036053016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036053016",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ILLINOIS",
            "identifier": "02201400",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Morris University Illinois
• Robert O Graham MDSC
• Robert O Isaacs, M D LTD
• Robert O. McCarthy MD SC
• Robert O. Stensland & Assoc. Inc.
• Robert P Gordon MD SC
• Robert S Glick DPM PC
• Robert S. Goldberg, MD, SC
• Robert S. Salk D.D.S. Jack a. Marks D.D.S. L.T.D.
• Robert Slott MD PC

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.