Fantus, Robert Joshua

Fantus, Robert Joshua is an individual health care provider with primary practice located at 9650 Gross Point Rd Ste 1900 , Skokie IL 60076-5006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fantus, Robert Joshua can be contacted via phone (224) 251-2020.

Contact Information

Primary practice address
9650 Gross Point Rd Ste 1900 Skokie IL 60076-5006
Phone: (224) 251-2020
Fax: (224) 251-2010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036160303 Illinois

Profile Details

NPI number 1356873970
LBN Legal business name Fantus, Robert Joshua
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2017
Last updated Sep 14th, 2022 - about 2 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 1356873970 NPPES
Missouri MEDICAID 200056643

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