MEDICARE: ROBYN GARCIA 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	207Q00000X	Family Medicine Physician	036098215	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080180995	OTHER	IL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1632097	OTHER	IL	BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932195336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBYN GARCIA M.D.

Provider Business Mailing Address
First Line	:	5501 W 79TH ST
Second Line	:	SUITE 400
City	:	BURBANK
State	:	IL
Zip	:	60459-1784
Country	:	US
Telephone Number	:	773-767-8283
Fax Number	:	773-767-8320

Provider Business Practice Location Address
First Line	:	5101 S KILDARE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60632-4608
Country	:	US
Telephone Number	:	773-735-5600
Fax Number	:	773-735-9489

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

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	07/24/2013

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