Basic Information
Provider Information
NPI: 1891809034
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MARCH
FirstName: ROBERT
MiddleName: J
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 816 JEFFREY CT
Address2:  
City: WHEATON
State: IL
PostalCode: 601878176
CountryCode: US
TelephoneNumber: 6306534039
FaxNumber:  
Practice Location
Address1: 1725 W HARRISON ST
Address2: SUITE 1156
City: CHICAGO
State: IL
PostalCode: 606123841
CountryCode: US
TelephoneNumber: 3125632763
FaxNumber: 3125634388
Other Information
ProviderEnumerationDate: 08/17/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208G00000X ILY Allopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery) 

No ID Information.


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