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Mr. Robert Herzog, PA
Physician Assistant in Carbondale, Illinois
NPI 1902963614

Robert Herzog is a Physician Assistant based in Carbondale, IL. Robert Herzog practices in Carbondale, IL and has the professional credentials of PA. The NPI Number for Robert Herzog is 1902963614 and holds a License No. 085-002116 (Illinois).

The current practice location address for Robert Herzog is 2601 W Main St, Carbondale, IL and can be reached out via phone at 618-549-5361 and via fax at 618-351-4878.

Location: 2601 W Main St, Carbondale, IL, 62902-3988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902963614
Provider Name
Robert Herzog
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2601 W Main St, Carbondale, IL, 62902-3988
Phone Number
618-549-5361
Fax Number
618-351-4878
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
086861 01 IL HAMP INS. NUMBER
086861 01 IL GHP
7210895 01 IL AETNA
3932056 01 IL BCBS OF IL
619456 01 IL HEALTHLINK
institution
Provider Business Practice Location Address Details
Address
2601 W Main St
City
Carbondale
State
Illinois
Zip
62901-1031
Phone Number
618-549-5361
Fax Number
618-351-4878
person
Provider Business Mailing Address Details
Address
2601 W Main St
City
Carbondale
State
Illinois
Zip
62901-1031
Phone Number
618-549-5361
Fax Number
618-351-4878
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
085-002116 (Illinois)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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