Individual
MR. ROBERT L CONNER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MPT, CSCS, FAFS
Contact information
Practice address
9805 S 51ST AVE, OAK LAWN, IL 60453-3052
(248) 854-8188
Mailing address
9805 S 51ST AVE, OAK LAWN, IL 60453-3052
(248) 854-8188
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070015130
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10951
MCARE
MI
01
—
30374
BCBS
MI
Enumeration date
03/27/2006
Last updated
05/21/2015
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