Robertson, Scott Duncan

Robertson, Scott Duncan is an individual health care provider with primary practice located at 5201 S Willow Springs Road Suite 300, La Grange IL 60525-6537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Robertson, Scott Duncan can be contacted via phone (708) 482-8088.

Contact Information

Primary practice address
5201 S Willow Springs Road Suite 300 La Grange IL 60525-6537
Phone: (708) 482-8088
Fax: (708) 482-9034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036094520 Illinois

Profile Details

NPI number 1376553875
LBN Legal business name Robertson, Scott Duncan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Nov 5th, 2012 - about 12 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 1376553875 NPPES
Illinois MEDICAID 036094520

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