Provider Demographics
NPI:1558494849
Name:FLANIGAN, ROBERT M (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:FLANIGAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:27750 W IL ROUTE 22
Mailing Address - Street 2:SUITE 130
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-2379
Mailing Address - Country:US
Mailing Address - Phone:847-381-6051
Mailing Address - Fax:847-381-6084
Practice Address - Street 1:27750 W IL ROUTE 22
Practice Address - Street 2:SUITE 130
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-2379
Practice Address - Country:US
Practice Address - Phone:847-381-6051
Practice Address - Fax:847-381-6084
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK47380Medicare PIN
ILD12985Medicare UPIN