Brizzolara, Robert

Brizzolara, Robert is an individual health care provider with primary practice located at 650 Dakota St Ste A , Crystal Lake IL 60012-3744. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Brizzolara, Robert can be contacted via phone (815) 455-6000.

Contact Information

Primary practice address
650 Dakota St Ste A Crystal Lake IL 60012-3744
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036121936 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036121936 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2019-01928 North Carolina

Profile Details

NPI number 1265677199
LBN Legal business name Brizzolara, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2008
Last updated Apr 6th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265677199 NPPES
Illinois Other 036121936 STATE LICENSE

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