Healthcare Provider Details

I. General information

NPI: 1134129323
Provider Name (Legal Business Name): ROBERT A. BOTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 W HIGGINS RD SUITE 670
HOFFMAN ESTATES IL
60195-5220
US

IV. Provider business mailing address

2500 W HIGGINS RD SUITE 670
HOFFMAN ESTATES IL
60195-5220
US

V. Phone/Fax

Practice location:
  • Phone: 847-884-7710
  • Fax: 847-884-8094
Mailing address:
  • Phone: 847-884-7710
  • Fax: 847-884-8094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036-075982
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: