Individual
DR. ROBERT MICHAEL EISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2112
Mailing address
4405 WEAVER PKWY, WARRENVILLE, IL 60555-3269
(630) 352-5300
(630) 352-5499
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036-107525
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107525
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147107
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
CE8854
MEDICARE RAILROAD PTAN (GROUP)
IL
01
—
P01075121
MEDICARE RAILROAD PTAN (INDIVIDUAL)
IL
Enumeration date
10/19/2006
Last updated
07/29/2024
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