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NPI Code Detail

MEDICARE: DR. ROBERT J CHESSER MD

MEDICARE:  DR. ROBERT J CHESSER  MD
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
1208100000XPhysical Medicine & Rehabilitation Physician036058383IL
2208100000XPhysical Medicine & Rehabilitation Physician23454IA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P01136858OTHERILRR MEDICARE
5P01278237OTHERIARR MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1508863176
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT J CHESSER MD
Provider Business Mailing Address
First Line : 2570 24TH ST
Second Line : STE 125
City : ROCK ISLAND
State : IL
Zip : 61201-5394
Country : US
Telephone Number : 309-779-2011
Fax Number : 309-779-2815
Provider Business Practice Location Address
First Line : 2570 24TH ST
Second Line : STE 125
City : ROCK ISLAND
State : IL
Zip : 61201-5394
Country : US
Telephone Number : 309-779-2011
Fax Number : 309-779-2815
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 02/05/2015

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Directions to “ DR. ROBERT J CHESSER MD” Practice Location

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