Individual
ROBERT ALAN CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4400 W 95TH ST STE 407, OAK LAWN, IL 60453-2654
(708) 684-4029
Mailing address
4400 W 95TH ST STE 407, OAK LAWN, IL 60453-2654
(708) 684-4029
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
085.008441
IL
Other
Enumeration date
06/01/2020
Last updated
12/16/2021
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