Doctor Name: | DR. ROBERT C FILICE |
NPI Number: | 1578607818 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 036-050038 |
Business Practice Address: | 11 Ingleshire Road 11 Ingleshire Road Montgomery, IL - 605382049 |
Business Phone Number: | 6303186254 |
Business Fax Number: | 8666575035 |
Mailing Address: | 11 Ingleshire Road, MONTGOMERY |
State: | IL |
Postal Code: | 605382049 |
Phone Number: | 6303186254 |
Fax Number: | 8666575035 |
NPI Enumeration Date: | 02/19/2007 |
NPI Last Update Date: | 04/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 036-050038 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |