Active NPI
Robert T. Egel, M. D., S. C.
- Neurology with Special Qualifications in Child Neurology Physician
- Oak Lawn, IL
National Provider Identifier
1992995625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- Legal business name
- ROBERT T. EGEL, M. D., S. C.
- Practice address
- 4440 W 95TH St
Oak Lawn, IL 60453-2699 - Phone
- (708) 684-5445
- Fax
- (708) 684-3112
- NPI assigned
- Jul 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Terrell Egel, M. D.
- Title
- President
- Phone
- (708) 684-5445
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | IL | Primary |
Addresses
Primary practice location
4440 W 95TH St
Oak Lawn, IL 60453-2699
Mailing address
4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (708) 684-5445
National Provider Directory
National Provider DirectoryLocations
16W475 S Frontage Rd
Ste 207
Burr Ridge, IL 60527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185753600000",
"number": "1992995625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4440 W 95TH ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532600",
"telephone_number": "708-684-5445",
"fax_number": "708-684-3112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4440 W 95TH ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532699",
"telephone_number": "708-684-5445",
"fax_number": "708-684-3112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT T. EGEL, M. D., S. C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-30",
"last_updated": "2007-07-30",
"status": "A",
"authorized_official_last_name": "EGEL",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "TERRELL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-684-5445",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M. D."
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.