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Individual
DR. ROBERT MICHAEL EISNER
Active
Individual
DR. ROBERT MICHAEL EISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036-107525
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107525
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147107
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
CE8854
MEDICARE RAILROAD PTAN (GROUP)
IL
01
—
P01075121
MEDICARE RAILROAD PTAN (INDIVIDUAL)
IL
Enumeration date
10/19/2006
Last updated
07/29/2024
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