MEDICARE: ROBERT E. EILERS, M.D., S.C.

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	208100000X	Physical Medicine & Rehabilitation Physician	36061196	IL

General Provider Information

NPI Number	:	1427249085
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT E. EILERS, M.D., S.C.

Provider Business Mailing Address
First Line	:	PO BOX 679
Second Line	:
City	:	HINSDALE
State	:	IL
Zip	:	60522-0679
Country	:	US
Telephone Number	:	630-556-9900
Fax Number	:

Provider Business Practice Location Address
First Line	:	45W699 JETER RD
Second Line	:
City	:	BIG ROCK
State	:	IL
Zip	:	60511-9769
Country	:	US
Telephone Number	:	630-556-9900
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERT EDWIN EILERS
Credential	:	M.D.
Telephone Number	:	630-556-9900

Provider Enumeration Date	:	08/07/2007
Last Update Date	:	08/27/2007

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