Maxson, Robert

Maxson, Robert is an individual health care provider with primary practice located at 12255 S 80Th Ave Ste 204 , Palos Heights IL 60463-1284. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Maxson, Robert can be contacted via phone (708) 923-3388.

Contact Information

Primary practice address
12255 S 80Th Ave Ste 204 Palos Heights IL 60463-1284
Phone: (708) 923-3388
Fax: (708) 923-3380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036148794 Illinois

Profile Details

NPI number 1194036632
LBN Legal business name Maxson, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2010
Last updated Dec 29th, 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 1194036632 NPPES
Illinois MEDICAID 036148794

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