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Contact Information

ROBERT J BREWER, MD
220 S PARK AVE
3RD FLOOR
HERRIN, IL62948-3612
 Phone: 618-942-2002
 Fax: 618-351-6497
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ROBERT J BREWER · (Male)

NPI # 1457355315
Status Active
Credentials MD
Entity Individual
Enumeration date 06/09/2005
Last updated 01/12/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036117928
  • KY License # 23499
  • IL Medicaid 036117928
  • KY Medicaid 64234990
  • IL Other 7210895 AETNA
  • IL Other 3932056 BCBS
  • IL Other 319226 GHP
  • IL Other 133018 HEALTH ALLIANCE
  • IL Other 654532 HEALTHLINK
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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