Provider Demographics
NPI:1750414785
Name:SOBUT, ROBERT ANTHONY (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ANTHONY
Last Name:SOBUT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8 S MICHIGAN AVENUE
Mailing Address - Street 2:SUITE 2211
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60603-3334
Mailing Address - Country:US
Mailing Address - Phone:312-437-0715
Mailing Address - Fax:
Practice Address - Street 1:8 S MICHIGAN AVENUE
Practice Address - Street 2:SUITE 2211
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-3334
Practice Address - Country:US
Practice Address - Phone:312-437-0715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-0794212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry