Dr Robert Ethan Applebaum, MD is a
Thoracic Surgery (cardiothoracic Vascular Surgery) physician based in Blue Island, Illinois. Dr Robert Ethan Applebaum is licensed to practice in Illinois (license number 036074981) and his current practice location is 2310 York St, Suite 3a, Blue Island, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 371-2057.
NPI number for Dr Robert Ethan Applebaum is 1477553188 and his current mailing address is 4400 W 95th St, Suite 205, Oak Lawn, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477553188.
Physician's Profile
| Full Name | Dr Robert Ethan Applebaum |
|---|
| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 2310 York St, Blue Island, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477553188
- Provider Enumeration Date: 07/22/2005
- Last Update Date: 11/19/2009
Medical Identifiers
Medical identifiers for Dr Robert Ethan Applebaum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477553188 | NPI | - | NPPES |
| 200269990C | Medicaid | IN | |
| 200269990D | Medicaid | IN | |
| 036074981 | Medicaid | IL | |
| 01618941 | Other | IL | BCBS |
| 200269990A | Medicaid | IN | |
| 200269990E | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036074981 (Illinois) | Primary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 01035864A (Indiana) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Robert Ethan Applebaum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Robert Ethan Applebaum, MD
4400 W 95th St, Suite 205,
Oak Lawn, IL 60453-2654
Ph: (708) 346-4040 | Dr Robert Ethan Applebaum, MD
2310 York St, Suite 3a,
Blue Island, IL 60406-2411
Ph: (708) 371-2057 |
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