Brockman, Robert

Brockman, Robert is an individual health care provider with primary practice located at 375 N Wall St Suite P640, Kankakee IL 60901-3483. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brockman, Robert can be contacted via phone (815) 932-0911.

Contact Information

Primary practice address
375 N Wall St Suite P640 Kankakee IL 60901-3483
Phone: (815) 932-0911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X Illinois

Profile Details

NPI number 1437115722
LBN Legal business name Brockman, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1437115722 NPPES
Illinois Other 4615036 BCBS PROVIDER ID

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