Individual
DR. ROBERT A KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7531 S STONY ISLAND AVE, CHICAGO, IL 60649-3954
(773) 947-7500
(773) 947-7896
Mailing address
13035 SEDGEFIELD RD, FARRAGUT, TN 37934-7905
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036099256
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32612500
—
WI
Enumeration date
07/11/2006
Last updated
05/05/2008
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