Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | ME127128 | FL |
Y | 207WX0107X | Retina Specialist | 036.146383 | IL |
NPI | 1013275478 |
---|---|
Provider Name | Dr. Robert Garoon |
First Address | Des Plaines, IL 60016-1667 |
Second Address | Des Plaines, IL 60016 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2012 |
Last Update Date | 05/11/2019 |