Basic Information
| Provider Information | |||||||||
| NPI: | 1568618296 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GERBER | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1475 E BELVIDERE RD STE 214 | ||||||||
| Address2: | |||||||||
| City: | GRAYSLAKE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600302015 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8475357157 | ||||||||
| FaxNumber: | 8475357399 | ||||||||
| Practice Location | |||||||||
| Address1: | 1475 E BELVIDERE RD STE 214 | ||||||||
| Address2: | |||||||||
| City: | GRAYSLAKE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600302015 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8475357157 | ||||||||
| FaxNumber: | 8475357399 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/13/2008 | ||||||||
| LastUpdateDate: | 03/19/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 03/19/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | 036125082 | IL | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | 036125082 | IL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.