Healthcare Provider Details

I. General information

NPI: 1861749400
Provider Name (Legal Business Name): ROBERT MEEKER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2012
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 N CLARK ST STE 3300
CHICAGO IL
60602-5089
US

IV. Provider business mailing address

20 N CLARK ST STE 3300
CHICAGO IL
60602-5089
US

V. Phone/Fax

Practice location:
  • Phone: 312-626-1800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.028980
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: