MEDICARE: DR. ROBERT J ANGLIM DPM

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	213E00000X	Podiatrist	316002036	IL

Other Identifiers

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

General Provider Information

NPI Number	:	1871521351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT J ANGLIM DPM

Provider Business Mailing Address
First Line	:	4701 N CUMBERLAND AVE
Second Line	:
City	:	NORRIDGE
State	:	IL
Zip	:	60706-2905
Country	:	US
Telephone Number	:	708-456-5150
Fax Number	:

Provider Business Practice Location Address
First Line	:	4701 N CUMBERLAND AVE
Second Line	:
City	:	NORRIDGE
State	:	IL
Zip	:	60706-2905
Country	:	US
Telephone Number	:	708-456-5150
Fax Number	:

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

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	02/20/2008

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Directions to “ DR. ROBERT J ANGLIM DPM” Practice Location

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