MEDICARE: DR. ROBERT HOMER BYRD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0213X	Pediatric Pathology Physician	036157270	IL
2	207ZP0213X	Pediatric Pathology Physician	26339	OK

General Provider Information

NPI Number	:	1821106550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT HOMER BYRD M.D.

Provider Business Mailing Address
First Line	:	225 E CHICAGO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2991
Country	:	US
Telephone Number	:	312-227-3963
Fax Number	:	312-227-9616

Provider Business Practice Location Address
First Line	:	225 E CHICAGO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2991
Country	:	US
Telephone Number	:	312-227-3963
Fax Number	:	312-227-9616

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	01/12/2026

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