Provider Demographics
NPI:1831307909
Name:RESK, ROBERT F (ROBERT RESK OD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:F
Last Name:RESK
Suffix:
Gender:M
Credentials:ROBERT RESK OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 BRYAN AVE
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-4431
Mailing Address - Country:US
Mailing Address - Phone:815-723-9135
Mailing Address - Fax:708-447-6178
Practice Address - Street 1:7201 W CERMAK RD
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:IL
Practice Address - Zip Code:60546-1401
Practice Address - Country:US
Practice Address - Phone:708-447-1495
Practice Address - Fax:708-447-6178
Is Sole Proprietor?:No
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL46-6038152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist