Individual
L ROBERT WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 CADILLAC CT, BELVIDERE, IL 61008-1733
(815) 544-0444
(815) 544-0652
Mailing address
PO BOX 15840, LOVES PARK, IL 61132-5840
(815) 654-7772
(815) 654-7009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036061249
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061249
—
IL
Enumeration date
01/20/2006
Last updated
07/18/2007
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