Provider Demographics
NPI:1770902041
Name:TERMANINI, ROBERT WILLIAM (MD,BA,BS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:WILLIAM
Last Name:TERMANINI
Suffix:
Gender:M
Credentials:MD,BA,BS
Other - Prefix:
Other - First Name:RAMI
Other - Middle Name:
Other - Last Name:TERMANINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD,BA,BS
Mailing Address - Street 1:1336 N BURLING ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-5265
Mailing Address - Country:US
Mailing Address - Phone:973-570-5100
Mailing Address - Fax:
Practice Address - Street 1:1336 N BURLING ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-5265
Practice Address - Country:US
Practice Address - Phone:212-777-3960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-15
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1744R1102X
IL02084N0400X
IL12084B0040X, 2084B0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry
No1744R1102XOther Service ProvidersSpecialistResearch Study
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology