Organization Active NPI

Robert T. Egel, M. D., S. C.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Oak Lawn, IL
National Provider Identifier
1992995625
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
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

Updated by the provider on Jul 30, 2007

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)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.