MEDICARE: ROBERT G VOTTERO MD

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	207P00000X	Emergency Medicine Physician	036071148	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902832025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT G VOTTERO MD

Provider Business Mailing Address
First Line	:	P O BOX 960214
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73196-0001
Country	:	US
Telephone Number	:	877-485-4474
Fax Number	:

Provider Business Practice Location Address
First Line	:	48 MOFFETT RD
Second Line	:
City	:	LAKE BLUFF
State	:	IL
Zip	:	60044-2810
Country	:	US
Telephone Number	:	847-363-4845
Fax Number	:

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

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	12/23/2009

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