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Individual

DR. ROBERT J CHESSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2570 24TH ST, STE 125, ROCK ISLAND, IL 61201-5394
(309) 779-2011
(309) 779-2815
Mailing address
2570 24TH ST, STE 125, ROCK ISLAND, IL 61201-5394
(309) 779-2011
(309) 779-2815

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036058383
IL
208100000X
Physical Medicine & Rehabilitation Physician
23454
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036058383
IL
05
0930263
IA
05
1508863176
IA
01
P01136858
RR MEDICARE
IL
01
P01278237
RR MEDICARE
IA
Enumeration date
06/28/2005
Last updated
02/05/2015
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