Provider Demographics
NPI:1902819527
Name:EPSTEIN, ROBERT IRWIN (DPM)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:IRWIN
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 HIDDEN LAKE DR
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-6866
Mailing Address - Country:US
Mailing Address - Phone:847-634-4552
Mailing Address - Fax:
Practice Address - Street 1:1300 HIDDEN LAKE DR
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-6866
Practice Address - Country:US
Practice Address - Phone:847-634-4552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist