Provider Demographics
NPI:1285626606
Name:MEYERS, ROBERT M (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:MEYERS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8780 W GOLF RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-5602
Mailing Address - Country:US
Mailing Address - Phone:847-674-5585
Mailing Address - Fax:847-824-7453
Practice Address - Street 1:8780 W GOLF RD
Practice Address - Street 2:SUITE 200
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-5602
Practice Address - Country:US
Practice Address - Phone:847-674-5585
Practice Address - Fax:847-824-7453
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2007-10-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1285626606Medicare PIN
ILD12213Medicare UPIN