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Individual

DR. ROBERT AARON BREIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1800 HOLLISTER DR, SUITE G-18, LIBERTYVILLE, IL 60048-5263
(847) 918-1462
(847) 968-4311
Mailing address
1800 HOLLISTER DR, SUITE G-18, LIBERTYVILLE, IL 60048-5263
(847) 918-1462
(847) 968-4311

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
036068882
IL
2085R0202X
Diagnostic Radiology Physician
01060991A
IN
2085R0202X
Diagnostic Radiology Physician
036068882
IL
2085R0202X
Diagnostic Radiology Physician
25000041
OH
2085R0202X
Diagnostic Radiology Physician
34114
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036068882
BLUE SHIELD
IL
05
036068882
IL
01
202926
GROUP PTAN
IL
01
212545
GROUP PTAN
IL
Enumeration date
11/18/2005
Last updated
11/14/2011
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