Healthcare Provider Details

I. General information

NPI: 1295078970
Provider Name (Legal Business Name): ROBERT ANDREW MCPHERSON P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2013
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14300 S RAVINIA AVE STE 100
ORLAND PARK IL
60462-2578
US

IV. Provider business mailing address

2650 RIDGE AVE STE 1223
EVANSTON IL
60201-1700
US

V. Phone/Fax

Practice location:
  • Phone: 630-974-6602
  • Fax: 630-487-2411
Mailing address:
  • Phone: 847-570-2040
  • Fax: 847-733-5315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number085004584
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: