Individual
ROBERT GASIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11560 S KEDZIE AVE, SUITE 100, MERRIONETTE PARK, IL 60803-4517
(708) 371-3105
(708) 390-2105
Mailing address
11560 S KEDZIE AVE, SUITE 100, MERRIONETTE PARK, IL 60803-4517
(708) 371-3105
(708) 390-2105
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036041857
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036041857
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621208
BLUECROSSBLUESHIELD
IL
01
—
01621679
BCBS OF IL
IL
05
—
036041857
—
IL
01
—
060042342
RAILROAD MEDICARE COOK
IL
01
—
CD8033
RAILROAD MEDICARE GROUP PTAN NUMBER
IL
01
—
CG1672
RAILROAD MEDICARE GROUP PTAN NUMBER
IL
01
—
P00000362
RAILROAD MEDICARE KANKAKEE
IL
Enumeration date
12/21/2005
Last updated
11/07/2016
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