MEDICARE: DR. ROBERT FRANCIS BRINKMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036047551	IL

General Provider Information

NPI Number	:	1396769147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT FRANCIS BRINKMAN M.D.

Provider Business Mailing Address
First Line	:	5419 N SHERIDAN RD
Second Line	:	SUITE 106
City	:	CHICAGO
State	:	IL
Zip	:	60640-1964
Country	:	US
Telephone Number	:	773-878-5151
Fax Number	:	773-878-1134

Provider Business Practice Location Address
First Line	:	5419 N SHERIDAN RD
Second Line	:	106
City	:	CHICAGO
State	:	IL
Zip	:	60640-1964
Country	:	US
Telephone Number	:	773-878-5151
Fax Number	:	773-878-1134

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	04/06/2012

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