Brizzolara, Robert
Brizzolara, Robert is an individual health care provider with primary practice located at 650 Dakota St Ste A , Crystal Lake IL 60012-3744. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Brizzolara, Robert can be contacted via phone (815) 455-6000.Contact Information
Primary practice address
650 Dakota St Ste A
Crystal Lake IL 60012-3744
Phone: (815) 455-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036121936 | Illinois |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036121936 | Illinois |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2019-01928 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 83816 | South Carolina |
Profile Details
| NPI number | 1265677199 |
|---|---|
| LBN Legal business name | Brizzolara, Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2008 |
| Last updated | Oct 31st, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265677199 | NPPES |
| Illinois | Other | 036121936 | STATE LICENSE |
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