Provider Demographics
NPI:1124088091
Name:PEARLMAN, ROBERT (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:PEARLMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3722 S HARLEM
Mailing Address - Street 2:STE LL10
Mailing Address - City:RIVERSIDE
Mailing Address - State:IL
Mailing Address - Zip Code:60546
Mailing Address - Country:US
Mailing Address - Phone:708-442-0797
Mailing Address - Fax:708-442-2339
Practice Address - Street 1:5215 N CALIFORNIA AVE STE F801
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-7014
Practice Address - Country:US
Practice Address - Phone:773-561-5100
Practice Address - Fax:773-561-5900
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-106751207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL336067315OtherCDS
IL036106751Medicaid