| L Robert Warren Md Llc | |
|
205 Cadillac Ct Ste 6 Belvidere IL 61008-1733 | |
| (815) 544-0444 | |
| (815) 544-0652 |
| Full Name | L Robert Warren Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 205 Cadillac Ct Ste 6, Belvidere, Illinois |
| Authorized Official Name and Position | L Robert Warren (PRES) |
| Authorized Official Contact | 8155440444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| L Robert Warren Md Llc 205 Cadillac Ct Ste 6 Belvidere IL 61008-1733 Ph: (815) 544-0444 | L Robert Warren Md Llc 205 Cadillac Ct Ste 6 Belvidere IL 61008-1733 Ph: (815) 544-0444 |
| NPI Number | 1144424847 |
|---|---|
| Provider Enumeration Date | 06/14/2007 |
| Last Update Date | 03/08/2012 |
| Medicare PECOS PAC ID | 9739152992 |
|---|---|
| Medicare Enrollment ID | O20040816001153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144424847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | L Robert Warren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558341933 PECOS PAC ID: 0042283228 Enrollment ID: I20040819000366 |
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