Provider Demographics
NPI:1922154178
Name:MCSAY, ROBERT ALLAN (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:ALLAN
Last Name:MCSAY
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 1:444 SKOKIE BLVD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-3086
Mailing Address - Country:US
Mailing Address - Phone:847-853-0124
Mailing Address - Fax:847-853-9526
Practice Address - Street 1:444 SKOKIE BLVD
Practice Address - Street 2:SUITE 340
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-3086
Practice Address - Country:US
Practice Address - Phone:847-853-0124
Practice Address - Fax:847-853-9526
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-0512782084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILD13149Medicare UPIN
IL492921Medicare ID - Type Unspecified