Individual
DR. ROBERT DEAN VACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26W171 ROOSEVELT RD STE 101, WHEATON, IL 60187-6002
(630) 933-4700
(630) 933-4427
Mailing address
26W171 ROOSEVELT RD STE 101, WHEATON, IL 60187-6002
(630) 933-4700
(630) 933-4427
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036061168
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036061168
IL
208M00000X
Hospitalist Physician
Primary
036061168
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061168
—
IL
Enumeration date
05/03/2006
Last updated
07/19/2021
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