Organization
ROBERT H GELLER, MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB A MATHEW (BUSINESS OFFICE MANAGER)
(708) 632-5600
Entity
Organization
Contact information
Practice address
1200 S YORK STREET, SUITE 4240, ELMHURST, IL 60126-5651
(708) 450-0462
(708) 632-5602
Mailing address
P.O. BOX 7230, WESTCHESTER, IL 60154-7230
(708) 632-5600
(708) 632-5602
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036055119
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036055119
—
IL
01
—
1326068677
NPI
IL
Enumeration date
08/31/2006
Last updated
08/03/2023
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