Merrick, Robert E.

Merrick, Robert E. is an individual health care provider with primary practice located at 1633 W Berwyn Ave , Chicago IL 60640-2005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Merrick, Robert E. can be contacted via phone (217) 848-7856.

Contact Information

Primary practice address
1633 W Berwyn Ave Chicago IL 60640-2005
Phone: (217) 848-7856
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 036054685 Illinois

Profile Details

NPI number 1437272549
LBN Legal business name Merrick, Robert E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Feb 24th, 2020 - about 4 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 1437272549 NPPES
Illinois MEDICAID 036054685
Illinois Other 110123
Illinois Other 00115241

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