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NPI Code Detail

MEDICARE: JOSHUA ROBERT TROB M.D.

MEDICARE:   JOSHUA ROBERT TROB  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
1207RN0300XNephrology Physician036100394IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548217144
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA ROBERT TROB M.D.
Provider Business Mailing Address
First Line : 210 S DESPLAINES ST
Second Line :
City : CHICAGO
State : IL
Zip : 60661-5500
Country : US
Telephone Number : 312-654-2720
Fax Number : 312-654-0118
Provider Business Practice Location Address
First Line : 1272 AMERICAN WAY
Second Line :
City : LIBERTYVILLE
State : IL
Zip : 60048-3936
Country : US
Telephone Number : 847-549-7222
Fax Number : 847-549-7260
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2006
Last Update Date : 11/22/2024

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Directions to “ JOSHUA ROBERT TROB M.D.” Practice Location

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