Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 36073973 | IL |
NPI | 1013012210 |
---|---|
Provider Name | Robert Belter |
First Address | Rolling Meadows, IL 60008-4257 |
Second Address | Rolling Meadows, IL 60008-4257 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 09/12/2021 |