Provider Demographics
NPI:1902863855
Name:ALONGI, ROBERT (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:ALONGI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 TRI STATE PKWY
Mailing Address - Street 2:STE. 100
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-5283
Mailing Address - Country:US
Mailing Address - Phone:847-623-3937
Mailing Address - Fax:847-623-9836
Practice Address - Street 1:312 TRI STATE PKWY
Practice Address - Street 2:STE. 100
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-5283
Practice Address - Country:US
Practice Address - Phone:847-623-3937
Practice Address - Fax:847-623-9836
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046007902152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL208248OtherMEDICARE GROUP NUMBER
IL4923647OtherBLUE SHIELD PROVIDER NUM
IL4932533OtherBLUE SHIELD PROVIDER NUM
ILP00259509OtherMEDICARE RAILRAOD
ILDD9094OtherMEDICARE RAILROAD GROUP#
IL0977120001Medicare NSC
IL208248OtherMEDICARE GROUP NUMBER
ILP00259509OtherMEDICARE RAILRAOD