Healthcare Provider Details

I. General information

NPI: 1801854856
Provider Name (Legal Business Name): ROBIN B ROTHBARD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3041 BUTTERFIELD RD # E100
OAK BROOK IL
60523-1146
US

IV. Provider business mailing address

1730 PARK ST SUITE 101
NAPERVILLE IL
60563-2688
US

V. Phone/Fax

Practice location:
  • Phone: 312-219-2230
  • Fax: 415-252-7176
Mailing address:
  • Phone: 630-718-0200
  • Fax: 630-718-0900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036083710
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: