Dr Robert Ethan Applebaum, MD in Blue Island, IL - Thoracic Surgery (Cardiothoracic Vascular Surgery)

Dr Robert Ethan Applebaum, MD is a Thoracic Surgery (cardiothoracic Vascular Surgery) physician based in Blue Island, Illinois. Dr Robert Ethan Applebaum is licensed to practice in Illinois (license number 036074981) and his current practice location is 2310 York St, Suite 3a, Blue Island, Illinois. He can be reached at his office (for appointments etc.) via phone at (708) 371-2057.

NPI number for Dr Robert Ethan Applebaum is 1477553188 and his current mailing address is 4400 W 95th St, Suite 205, Oak Lawn, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477553188.

Contact Information

	Dr Robert Ethan Applebaum, MD
	2310 York St, Suite 3a, Blue Island, IL 60406-2411
	(708) 371-2057
	(708) 371-4569

Physician's Profile

Full Name	Dr Robert Ethan Applebaum
Gender	Male
Speciality	Thoracic Surgery (cardiothoracic Vascular Surgery)
Location	2310 York St, Blue Island, Illinois
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1477553188
Provider Enumeration Date: 07/22/2005
Last Update Date: 11/19/2009

Medical Identifiers

Medical identifiers for Dr Robert Ethan Applebaum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477553188	NPI	-	NPPES
200269990C	Medicaid	IN
200269990D	Medicaid	IN
036074981	Medicaid	IL
01618941	Other	IL	BCBS
200269990A	Medicaid	IN
200269990E	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	036074981 (Illinois)	Primary
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	01035864A (Indiana)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Robert Ethan Applebaum is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Robert Ethan Applebaum, MD 4400 W 95th St, Suite 205, Oak Lawn, IL 60453-2654 Ph: (708) 346-4040	Dr Robert Ethan Applebaum, MD 2310 York St, Suite 3a, Blue Island, IL 60406-2411 Ph: (708) 371-2057

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Dr Robert Ethan Applebaum, MD - Thoracic Surgery (Cardiothoracic Vascular Surgery) in Blue Island, IL