ROBERT TERRELL EGEL M.D. NPI 1639111248

NPI Information

NPI: 1639111248
Provider Name: ROBERT TERRELL EGEL, M.D.
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

PECOS Registration: Yes

Address:
4440 W 95TH ST
OAK LAWN, IL
ZIP 60453
Phone: (708) 684-5445
Get Directions

Robert Terrell Egel, M.D. is a neurology with special qualifications in child neurology psychiatry neurology in Oak Lawn, IL. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Robert Terrell Egel, M.D. NPI is 1639111248. 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:

4440 W 95TH ST
OAK LAWN, IL
ZIP 60453-600
Phone: (708) 684-5445
Fax: (708) 684-3112

The NPI 1639111248 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 1/8/2013.

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
1	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	036045827	ILLINOIS	Yes

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
1	C-39487	MEDICARE UPIN
2	208938	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	COOK CO.
3	208939	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	WILL CO.
4	036045827	MEDICAID	ILLINOIS

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: 4/28/2024

NPI Synchronization or Removal

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