# ROBERT M. GASIOR, M.D., F.A.C.S., S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972977676
- **Authorized official:** ROBERT M. GASIOR M.D. (SOLE PROPRIETOR)
- **Authorized official phone:** (630) 734-0059

## Contact information

- **Practice address:** 2338 NEW STREET, BLUE ISLAND, IL 60406-2402
- **Practice address phone:** (708) 371-3105
- **Practice address fax:** (708) 390-2105
- **Mailing address:** 2338 NEW STREET, BLUE ISLAND, IL 60406-2402
- **Mailing address phone:** (708) 371-3105
- **Mailing address fax:** (708) 390-2105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/18/2015
- **Last updated:** 11/18/2015