Individual
DR. ROBERT E SHARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10400 SOUTHWEST HWY, LOWER LEVEL, CHICAGO RIDGE, IL 60415-1367
(708) 581-7308
(708) 581-7309
Mailing address
10400 SOUTHWEST HWY, LOWER LEVEL, CHICAGO RIDGE, IL 60415-1367
(708) 581-7308
(708) 581-7309
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036076990
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232706
BCBS PROVIDER NUMBER
IL
05
—
036076990
—
IL
01
—
1467471540
AUS GROUP NPI
—
Enumeration date
07/28/2005
Last updated
06/26/2009
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