Individual
DR. ROBERT ETHAN APPLEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2310 YORK ST STE 3A, BLUE ISLAND, IL 60406-2411
(708) 986-4675
(773) 341-2933
Mailing address
2310 YORK ST STE 3A, BLUE ISLAND, IL 60406-2411
(708) 986-4675
(773) 341-2933
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
01035864A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036074981
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01618941
BCBS
IL
05
—
036074981
—
IL
05
—
200269990A
—
IN
05
—
200269990C
—
IN
05
—
200269990D
—
IN
05
—
200269990E
—
IN
Enumeration date
07/22/2005
Last updated
02/06/2026
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