Provider Demographics
NPI:1255543609
Name:RIX, ROBERT DONAHUE (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DONAHUE
Last Name:RIX
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:EMERGENCY DEPT
Mailing Address - Street 2:250 PLEASANT ST
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-2598
Mailing Address - Country:US
Mailing Address - Phone:603-225-7000
Mailing Address - Fax:603-230-7218
Practice Address - Street 1:7435 WEST TALCOTT AVENUE
Practice Address - Street 2:EMERGENCY MEDICINE RESIDENCY OFFICE
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631
Practice Address - Country:US
Practice Address - Phone:773-774-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-05
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125-052961207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine