Individual
ROBERT B LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4405 WEAVER PKWY, WARRENVILLE, IL 60555-3269
(630) 938-8850
Mailing address
4405 WEAVER PKWY, WARRENVILLE, IL 60555-3269
(630) 938-8850
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036116543
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
25340
WI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
D90665
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336104041
—
WI
01
—
206147
MEDICARE PTAN (GROUP)
IL
05
—
31694000
—
WI
01
—
F400206487
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
04/18/2006
Last updated
02/11/2021
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