MEDICARE: ROBERT ALAN SMALL 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	036071724	IL

General Provider Information

NPI Number	:	1689690463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT ALAN SMALL M.D.

Provider Business Mailing Address
First Line	:	1555 BARRINGTON RD
Second Line	:	DOCTORS BUILDING ONE SUITE 230
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60169-1019
Country	:	US
Telephone Number	:	847-843-7404
Fax Number	:	847-843-0030

Provider Business Practice Location Address
First Line	:	1585 BARRINGTON RD STE 204
Second Line	:
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60169-5019
Country	:	US
Telephone Number	:	847-843-7404
Fax Number	:	847-843-0030

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	12/29/2025

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