Listernick, Robert Howard

Listernick, Robert Howard is an individual health care provider with primary practice located at 2300 Childrens Plaza Division Of General Academic Pediatrics Childrens Memor, Chicago IL 60614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Listernick, Robert Howard can be contacted via phone (773) 880-3832.

Contact Information

Primary practice address
2300 Childrens Plaza Division Of General Academic Pediatrics Childrens Memor Chicago IL 60614
Phone: (773) 880-3832
Fax: (773) 281-4237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036062085 Illinois

Profile Details

NPI number 1083682454
LBN Legal business name Listernick, Robert Howard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Sep 14th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083682454 NPPES
Illinois MEDICAID 036062085

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