Hadesman, Robert A

Hadesman, Robert A is an individual health care provider with primary practice located at 890 Garfield Ave Ste 103, Libertyville IL 60048-3100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Hadesman, Robert A can be contacted via phone (847) 680-5858.

Contact Information

Primary practice address
890 Garfield Ave Ste 103 Libertyville IL 60048-3100
Phone: (847) 680-5858
Fax: (847) 680-5862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036072426 Illinois

Profile Details

NPI number 1245234574
LBN Legal business name Hadesman, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jan 31st, 2014 - about 10 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 1245234574 NPPES
Illinois MEDICAID 036072426

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