DR. ROBERT ETHAN APPLEBAUM M.D. NPI 1477553188

NPI Information

  • NPI: 1477553188
  • Provider Name: DR. ROBERT ETHAN APPLEBAUM, M.D.
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Individual
  • Address: 2310 YORK ST
    SUITE 3A
    BLUE ISLAND, IL
    ZIP 60406
  • Phone: (708) 371-2057

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NPI Details

DR. Robert Ethan Applebaum, M.D. is a thoracic surgery cardiothoracic vascular surgery in Blue Island, IL. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. DR. Robert Ethan Applebaum, M.D. NPI is 1477553188. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2310 YORK ST
SUITE 3A
BLUE ISLAND, IL
ZIP 60406-411
Phone: (708) 371-2057
Fax: (708) 371-4569

The enumeration date for this NPI number is 7/22/2005 and was last updated on 11/19/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)01035864AINDIANANo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)036074981ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00739036MEDICARE PININDIANA
2036074981MEDICAIDILLINOIS
3200269990EMEDICAIDINDIANA
4K17109MEDICARE PINILLINOIS
5P00224395MEDICARE PINILLINOIS
6K17108MEDICARE PINILLINOIS
7408430RMEDICARE PININDIANA
8C48877MEDICARE UPINILLINOIS
9200269990AMEDICAIDINDIANA
10200269990CMEDICAIDINDIANA
1101618941OTHERILLINOISBCBS
12200269990DMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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