ROBERT BROCKMAN (NPI# 1437115722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437115722 |
| Entity Type | Individual |
| Full Name | ROBERT BROCKMAN |
| Credential | MD |
| Practice Address |
375 N Wall St Suite P640 Kankakee IL 60901-3483 |
| Mailing Address |
777 Oakmont Ln Suite 1600 Westmont IL 60559-5511 |
| Practice Telephone | 8159320911 |
| Mailing Telephone | 6307892550 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS PROVIDER ID | 4615036 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174621767 | Robert J Brockman | Surgery | 75 Baylor Dr Ste 290, Bluffton, SC 29910-8965 | 2006-09-20 |
| 1053312967 | Robert Harry Brockman | Chiropractor | 2311 Avenue L Ste 3, Fort Madison, IA 52627-4031 | 2005-08-02 |
| Street Address |
375 N WALL ST SUITE P640 |
| City | KANKAKEE |
| State | IL |
| Zip Code | 60901-3483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841285301 | Roger Leon Taylor | Obstetrics & Gynecology | 375 N Wall St, Suite P410, Kankakee, IL 60901-3483 | 2005-09-12 |
| 1497112684 | Julie Richardson | Nurse Practitioner | 375 N Wall St, Kankakee, IL 60901-3483 | 2016-01-20 |
| 1871824987 | Emily C Rodriguez | Physician Assistant | 375 N Wall St, Suite P530, Kankakee, IL 60901-3483 | 2010-01-29 |
| 1740434760 | Hearing Things, Inc. | Hearing Aid Equipment | 375 N Wall St, Suite P620, Kankakee, IL 60901-3483 | 2008-11-05 |
| 1649422619 | Kristin Marie Balthazor | Physician Assistant | 375 N Wall St, Ste P530, Kankakee, IL 60901 | 2008-10-21 |
| 1891964649 | Patricia Joan Croix | Audiologist-Hearing Aid Fitter | 375 N Wall St, Suite P620, Kankakee, IL 60901-3483 | 2008-02-26 |
| 1235349598 | Vikas K. Patel | Internal Medicine | 375 N Wall St, Ste 310, Kankakee, IL 60901-3483 | 2007-05-23 |
| 1063538312 | Med-peds Associates,p.c. | Internal Medicine | 375 N Wall St, Ste P520, Kankakee, IL 60901-3483 | 2007-03-21 |
| 1730212309 | Nicole S. Nettgen | Advanced Practice Midwife | 375 N Wall St, Suite P630, Kankakee, IL 60901-3483 | 2007-03-13 |
| 1669556593 | John V Jurica | Family Medicine | 375 N Wall St, Suite P510, Kankakee, IL 60901-3483 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1922653682 | Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC | Counselor | 315 W. Court St., Kankakee, IL 60901 | 2019-08-08 |
| 1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
| 1710473160 | Small Talk Speech Services, LLC | Clinic/Center | 1439 W Vanmeter St, Kankakee, IL 60901 | 2018-07-09 |
| 1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
| 1013457514 | Elizabeth Ann Smith | Registered Nurse | 292 Charlton Lane, Kankakee, IL 60901 | 2017-03-02 |
| 1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
| 1417352105 | Provider Healthcare Services, Inc | Home Health | 555 South Schuyler, Suite 275, Kankakee, IL 60901 | 2014-10-24 |
| 1265850655 | Ronald George Testa | Dentist | 202 N. Schuyler Ave, Kankakee, IL 60901 | 2014-04-02 |
| 1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
| Find all providers in zip 60901 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528334208 | Kay Chow Timbers | Surgery | 400 N Wall St Ste B410, Kankakee, IL 60901-2940 | 2012-03-28 |
| 1538263256 | Soren David Lang | Surgery | 400 N. Wall St, Suite 410, Kankakee, IL 60901-2963 | 2006-09-12 |
| 1740246040 | Paul E Rowland | Surgery | 375 N Wall St Ste P420, Kankakee, IL 60901-3406 | 2006-04-25 |
| 1700204583 | Quantel Valdezzel Rolle | Surgery | 375 N Wall St Ste P420, Kankakee, IL 60901-3406 | 2014-03-31 |
| 1962677450 | S David Lang Md Limited | Surgery | 400 N Wall St, Ste 410, Kankakee, IL 60901-2963 | 2008-04-25 |
| 1265539472 | Keith M. Monson, M.d., Sc | Surgery | 400 N Wall St, Suite 304, Kankakee, IL 60901-2940 | 2006-09-20 |
| 1104938984 | Dong Ouk Kim | Surgery | 400 N Wall St, Suite 410, Kankakee, IL 60901-2940 | 2006-08-31 |
| 1629092937 | Jeffrey Lincoln Brown | Surgery | 375 N Wall St Ste P420, Kankakee, IL 60901-3406 | 2006-07-27 |
| 1770529612 | General Surgeons of Kankakee Ltd | Surgery | 375 N Wall St, Suite P640, Kankakee, IL 60901-3483 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1376167809 | Francesco Bajani | Surgery | 664 N Dearborn St Apt 2f, Chicago, IL 60654-3848 | 2020-06-01 |
| 1972123099 | Andrea Liu | Surgery | 5841 S Maryland Ave Mc6040, Chicago, IL 60637-1443 | 2020-04-18 |
| 1750917183 | Alberto Maria Fratti | Surgery | 901 S Ashland Ave Apt 711, Chicago, IL 60607-4088 | 2020-03-17 |
| 1841845047 | Barijuve Surgical LLC | Surgery | 380 E Northwest Hwy Ste 200, Des Plaines, IL 60016-2274 | 2019-08-05 |
| 1164081782 | Sean Park | Surgery | 1739 Tudor Ln Unit 308, Northbrook, IL 60062-3778 | 2019-06-07 |
| 1376014175 | Edwardsville Physicians Group LLC | Surgery | 441 South State Route 157 Suite 102, Edwardsville, IL 62025-4012 | 2018-12-06 |
| 1316421324 | Erica Lester | Surgery | John H Stroger, 1969 Ogden Ave, Chicago, IL 60612 | 2018-09-17 |
| 1023513389 | Crystal Siyu Zhang | Surgery | 2160 S 1st Ave Bldg 3210, Maywood, IL 60153 | 2018-03-28 |
| 1376047381 | Richard Lawrence Nelson | Surgery | 1603 W. Taylor St., Room 983, Chicago, IL 60612-4394 | 2018-03-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.