DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ROBERT BLACKWELL

Active Sole Proprietor

DR. ROBERT BLACKWELL is a Dentist healthcare provider located in BROOKFIELD, Illinois. NPI 1205964137 is currently active in the NPPES registry. Verify at CMS.

Dentist · BROOKFIELD, IL

Registration Details

NPI Number
1205964137
Provider Type
Individual
Gender
Male
NPI Issued
Mar 1, 2007 (19.429223868873 yrs)
Last Updated
Apr 10, 2014
License
019018706 (IL)
Sole Proprietor
Yes

Practice Information

Address
3631 FOREST AVE
UNIT D
BROOKFIELD, IL, 605131763
Browse IL providers · Browse ZIP 60513
Phone
2176213232
Primary Specialty
Dentist
122300000X

Other Dentist Providers in BROOKFIELD, IL

Name Credential NPI
TODD C MARTIN DDS 1669574513
DANIEL J LEHENBAUER DDS 1255425476
GERALD P GARDNER DDS 1205920436
DR. ALAN HOWARD ISAAC D.D.S. 1669515557
DR. SAADALLAH JABRI DDS 1720244759
DR. CYNTHIA LOU JOURDAN DDS 1710224274
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.