Individual
DR. ROBERT MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6660 W RAVEN ST, CHICAGO, IL 60631-2506
(773) 774-5702
Mailing address
6600 WEST RAVEN STREET, CHICAGO, IL 60631-2506
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-106479
IL
207P00000X
Emergency Medicine Physician
36698
MS
207R00000X
Internal Medicine Physician
036-106479
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036-106479
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036106479
BLUE SHIELD
IL
05
—
036106479-7
—
IL
05
—
036106479-8
—
IL
05
—
200912360
—
IN
Enumeration date
10/03/2006
Last updated
03/11/2026
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