| Robert T. Egel, M. D., S. C. | |
|
4440 W 95th St Oak Lawn IL 60453-2699 | |
| (708) 684-5445 | |
| (708) 684-3112 |
| Full Name | Robert T. Egel, M. D., S. C. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4440 W 95th St, Oak Lawn, Illinois |
| Authorized Official Name and Position | Robert Terrell Egel (PRESIDENT) |
| Authorized Official Contact | 7086845445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert T. Egel, M. D., S. C. 4440 W 95th St Oak Lawn IL 60453-2600 Ph: (708) 684-5445 | Robert T. Egel, M. D., S. C. 4440 W 95th St Oak Lawn IL 60453-2699 Ph: (708) 684-5445 |
| NPI Number | 1992995625 |
|---|---|
| Provider Enumeration Date | 07/30/2007 |
| Last Update Date | 07/30/2007 |
| Medicare PECOS PAC ID | 8628052487 |
|---|---|
| Medicare Enrollment ID | O20040617001008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992995625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (Illinois) | Primary |
| Provider Name | Robert T Egel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639111248 PECOS PAC ID: 4789667171 Enrollment ID: I20040608000596 |
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