Individual
ROBERT JOSHUA FANTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9650 GROSS POINT RD STE 1900, SKOKIE, IL 60076-5006
(224) 251-2020
(224) 251-2010
Mailing address
9650 GROSS POINT RD STE 1900, SKOKIE, IL 60076-5006
(224) 251-2020
(224) 251-2010
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036160303
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200056643
—
MO
Enumeration date
04/02/2017
Last updated
09/14/2022
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