MEDICARE: ROBERT M GERBER

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	335E00000X	Prosthetic/Orthotic Supplier
2	213E00000X	Podiatrist	016003563	IL

General Provider Information

NPI Number	:	1871779710
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT M GERBER

Provider Business Mailing Address
First Line	:	800 AUSTIN ST STE 469E
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60202-3455
Country	:	US
Telephone Number	:	847-332-1112
Fax Number	:	847-332-1114

Provider Business Practice Location Address
First Line	:	800 AUSTIN ST STE 469E
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60202-3455
Country	:	US
Telephone Number	:	847-332-1112
Fax Number	:	847-332-1114

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBERT MARTIN GERBER
Credential	:	DPM
Telephone Number	:	847-332-1112

Provider Enumeration Date	:	01/10/2008
Last Update Date	:	02/09/2026

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