Provider Demographics
NPI:1427270602
Name:CABAY, ROBERT J (MD, DDS)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:CABAY
Suffix:
Gender:M
Credentials:MD, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 S. WOOD ST.
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-4325
Mailing Address - Country:US
Mailing Address - Phone:312-996-7312
Mailing Address - Fax:312-996-7586
Practice Address - Street 1:840 S. WOOD ST.
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-4325
Practice Address - Country:US
Practice Address - Phone:312-996-7312
Practice Address - Fax:312-996-7586
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-117115207ZP0102X, 207ZC0500X
IL019-0200861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No1223G0001XDental ProvidersDentistGeneral Practice
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology