Individual
ROBERT BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
375 N WALL ST, SUITE P640, KANKAKEE, IL 60901-3483
(815) 932-0911
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4615036
BCBS PROVIDER ID
IL
Enumeration date
04/25/2006
Last updated
07/08/2007
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