Provider Demographics
NPI:1093863458
Name:ROBERT M. ALLAR, MD AND ASSOCIATES PC
Entity Type:Organization
Organization Name:ROBERT M. ALLAR, MD AND ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALLAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-717-1311
Mailing Address - Street 1:1020 EAST OGDEN AVENUE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8610
Mailing Address - Country:US
Mailing Address - Phone:630-717-1311
Mailing Address - Fax:
Practice Address - Street 1:1020 EAST OGDEN AVENUE
Practice Address - Street 2:SUITE 210
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8610
Practice Address - Country:US
Practice Address - Phone:630-717-1311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2017-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036066795207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Single Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036066795Medicaid
IL036066795Medicaid
ILB76639Medicare UPIN