Kummerer, Robert Gerard
Kummerer, Robert Gerard is an individual health care provider with primary practice located at 890 Garfield Ave Suite 101, Libertyville IL 60048-4723. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Kummerer, Robert Gerard can be contacted via phone (847) 990-5636.Contact Information
Primary practice address
890 Garfield Ave Suite 101
Libertyville IL 60048-4723
Phone: (847) 990-5636
Fax: (847) 367-1535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 036087848 | Illinois |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 55253-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 036087848 | Illinois |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036087848 | Illinois |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 55253-20 | Wisconsin |
Profile Details
| NPI number | 1902891674 |
|---|---|
| LBN Legal business name | Kummerer, Robert Gerard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Dec 17th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902891674 | NPPES |
| Indiana | MEDICAID | 200269890B | |
| Indiana | MEDICAID | 036087848 | |
| Indiana | MEDICAID | 200269890A | |
| Indiana | Other | 01618941 | |
| Indiana | MEDICAID | 1902891674 |
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