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Individual

ROBERT G ROMOLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
450 W HIGHWAY 22, BARRINGTON, IL 60010-1919
(847) 381-9600
Mailing address
PO BOX 98, BARRINGTON, IL 60010-0098
(616) 975-1845
(616) 285-0846

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036083792
IL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
036083792
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036083792
IL
01
930021583
RAILROAD MEDICARE
IL
Enumeration date
07/28/2006
Last updated
12/20/2021
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