Provider Demographics
NPI:1891854758
Name:EILERS, ROBERT EDWIN (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:EDWIN
Last Name:EILERS
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:PO BOX 679
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60522-0679
Mailing Address - Country:US
Mailing Address - Phone:630-556-9900
Mailing Address - Fax:630-556-4900
Practice Address - Street 1:45W699 JETER RD
Practice Address - Street 2:
Practice Address - City:BIG ROCK
Practice Address - State:IL
Practice Address - Zip Code:60511-9769
Practice Address - Country:US
Practice Address - Phone:630-556-9900
Practice Address - Fax:630-556-4900
Is Sole Proprietor?:No
Enumeration Date:2006-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36061196208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL907220Medicare ID - Type Unspecified