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General NPI Number Information
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NPI Number | 1871779710
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Entity Type | Organization
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Legal Business Name | ROBERT M GERBER
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Dates
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Enumeration Date | 01/10/2008
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 800 AUSTIN ST STE 469E
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City | EVANSTON
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State | IL
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Zip | 60202-3455
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Country | US
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Telephone | 847-332-1112
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Fax | 847-332-1114
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Provider Business Mailing Address
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Address Line | 800 AUSTIN ST STE 469E
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City | EVANSTON
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State | IL
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Zip | 60202-3455
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Country | US
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Telephone | 847-332-1112
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Fax | 847-332-1114
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT MARTIN GERBER
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Credential | DPM
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Telephone | 847-332-1112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 016003563
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License Number State | IL
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