| Doctor Name: | DR. ROBERT JAY HART |
| NPI Number: | 1093719908 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | |
| Business Practice Address: | 19815 Governors Hwy Suite 2 Flossmoor, IL - 604224385 |
| Business Phone Number: | 7087982950 |
| Business Fax Number: | 7089577471 |
| Mailing Address: | 19815 Governors Hwy, Suite 2 FLOSSMOOR |
| State: | IL |
| Postal Code: | 604224385 |
| Phone Number: | 7087982950 |
| Fax Number: | 7089577471 |
| NPI Enumeration Date: | 06/08/2005 |
| NPI Last Update Date: | 12/02/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |