Provider Demographics
NPI:1073690111
Name:ANTMAN, ROBERT E (ROBERT E ANTMAN,DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:ANTMAN
Suffix:
Gender:M
Credentials:ROBERT E ANTMAN,DDS
Other - Prefix:DR
Other - First Name:ROBERT
Other - Middle Name:E
Other - Last Name:ANTMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ROBERT E ANTMAN,DDS
Mailing Address - Street 1:8840 HARLEM AVE
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-2061
Mailing Address - Country:US
Mailing Address - Phone:847-966-9400
Mailing Address - Fax:
Practice Address - Street 1:8840 HARLEM AVE
Practice Address - Street 2:
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-2061
Practice Address - Country:US
Practice Address - Phone:847-966-9400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist