| Doctor Name: | DR. ROBERT P DECRESCE |
| NPI Number: | 1114902814 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 036066410 |
| Business Practice Address: | 1653 W Congress Pkwy Chicago, IL - 606123833 |
| Business Phone Number: | 3129425700 |
| Business Fax Number: | |
| Mailing Address: | 5700 Southwyck Blvd, TOLEDO |
| State: | OH |
| Postal Code: | 436141509 |
| Phone Number: | 8002888325 |
| Fax Number: | 4198665453 |
| NPI Enumeration Date: | 12/14/2005 |
| NPI Last Update Date: | 10/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 036066410 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |