Provider Demographics
NPI:1861460081
Name:COATS, ROBERT W (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:W
Last Name:COATS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7543 183RD ST
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-6208
Mailing Address - Country:US
Mailing Address - Phone:708-263-2000
Mailing Address - Fax:708-263-2023
Practice Address - Street 1:7543 183RD ST
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-6208
Practice Address - Country:US
Practice Address - Phone:708-263-2000
Practice Address - Fax:708-263-2023
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01060368A207XS0106X
IL036108871207XS0106X
IL036108841207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILP00201177/CK6882OtherRAILROAD MEDICARE
IL4673170001OtherDMERC
IN01060368AOtherIN LICENSE
ILP00201177/CK6882OtherRAILROAD MEDICARE
IDK09302Medicare ID - Type UnspecifiedFEE SCHEDULE LOCALITY 15
ILP00201177/CK6882OtherRAILROAD MEDICARE