Marshall, Robert Alan

Marshall, Robert Alan is an sole proprietor health care provider with primary practice located at 1200 Maple Rd Suite 3309, Joliet IL 60432-1439. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Marshall, Robert Alan can be contacted via phone (815) 723-9351.

Contact Information

Primary practice address
1200 Maple Rd Suite 3309 Joliet IL 60432-1439
Phone: (815) 723-9351
Fax: (815) 723-9823
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036-062091 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 21400 Minnesota

Profile Details

NPI number 1366487399
LBN Legal business name Marshall, Robert Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2006
Last updated May 10th, 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 1366487399 NPPES
Illinois MEDICAID 036062091

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