Provider Demographics
NPI:1205978186
Name:LENET, ROBERT (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:LENET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 EAST HURON ST
Mailing Address - Street 2:SUITE 1226
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2946
Mailing Address - Country:US
Mailing Address - Phone:312-951-0501
Mailing Address - Fax:312-951-0970
Practice Address - Street 1:150 EAST HURON ST
Practice Address - Street 2:SUITE 1226
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2946
Practice Address - Country:US
Practice Address - Phone:312-951-0501
Practice Address - Fax:312-951-0970
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036070579207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C42653Medicare UPIN
L20545Medicare ID - Type Unspecified