Robert T Nixon Jr. (NPI# 1821160516, PAC ID# 4880643113) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPORTS MEDICINE.
| Nation Provider ID (NPI) | 1821160516 |
| PAC ID by PECOS | 4880643113 |
| Professional Enrollment ID | I20100105000655 |
| Full Name | Robert T Nixon Jr. |
| Organization Legal Name | CENTRAL DUPAGE PHYSICIAN GROUP |
| Address |
420 N Il Route 31 Crystal Lake IL 60012-3709 |
| Phone Number | 8153565200 |
| Gender | M |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | SPORTS MEDICINE |
| Secondary Specialties | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 5890696231 |
| Number of Group Practice Members | 660 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140116 | CENTEGRA HOSPITAL-MCHENRY |
| Address | Phone | Organization |
|---|---|---|
| 420 N Il Route 31, Crystal Lake, IL 60012-3709 | 8153565200 | CENTRAL DUPAGE PHYSICIAN GROUP |
| 444 N Park Blvd, Glen Ellyn, IL 60137-4622 | 6304690045 | CENTRAL DUPAGE PHYSICIAN GROUP |
| 1800 N Main St, Wheaton, IL 60187-3112 | 6306144960 | CENTRAL DUPAGE PHYSICIAN GROUP |
| Organization Legal Name | CENTRAL DUPAGE PHYSICIAN GROUP |
| Physicians | 623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert James Kasper | Family Medicine | Central Dupage Physician Group | 298 Randall Rd, Geneva, IL 60134-4203 |
| Lauren E Miser | Physician Assistant | Central Dupage Physician Group | 2425 Fargo Blvd, Geneva, IL 60134-3591 |
| Melissa Lancaster | Psychologist, Clinical | Central Dupage Physician Group | 302 Randall Rd, Geneva, IL 60134-4209 |
| Deborah A Henschler | Nurse Practitioner | Central Dupage Physician Group | 224 E Railroad St, Sandwich, IL 60548-2240 |
| Mehr Iqbal | Psychiatry | Central Dupage Physician Group | 1800 N Main St, Wheaton, IL 60187-3112 |
| Rakhee Kalelkar | Internal Medicine | Central Dupage Physician Group | 1019 School St, Lisle, IL 60532-1870 |
| Katharyn Lupo | Pediatric Medicine | Central Dupage Physician Group | 636 Raymond Dr, Naperville, IL 60563-9789 |
| Carrie A Feid | Nurse Practitioner | Central Dupage Physician Group | 304 Randall Rd, Geneva, IL 60134-4200 |
| Spring S Piatek | Certified Clinical Nurse Specialist (cns) | Central Dupage Physician Group | 473 W Army Trail Rd, Bloomingdale, IL 60108-2674 |
| Rhonda Koach | Qualified Speech Language Pathologist | Central Dupage Physician Group | 2127 Midlands Ct, Unit 203, Sycamore, IL 60178-3173 |
| Street Address |
420 N IL ROUTE 31 |
| City | CRYSTAL LAKE |
| State | IL |
| Zip | 60012-3709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy G Havenhill | Hand Surgery | Central Dupage Physician Group | 420 N Il Route 31, Crystal Lake, IL 60012-3709 |
| Justin Jon Gent | Orthopedic Surgery | Central Dupage Physician Group | 420 N Il Route 31, Crystal Lake, IL 60012-3709 |
| Nicole Trittschuh | Physician Assistant | Central Dupage Physician Group | 420 N Il Route 31, Crystal Lake, IL 60012-3709 |
| Brian Patrick Flanagan | Orthopedic Surgery | Central Dupage Physician Group | 420 N Il Route 31, Crystal Lake, IL 60012-3709 |
| Alexander J Hembrey | Physician Assistant | Central Dupage Physician Group | 420 N Il Route 31, Crystal Lake, IL 60012-3709 |
| Priyesh D. Patel | Hand Surgery | Central Dupage Physician Group | 420 N Il Route 31, Crystal Lake, IL 60012-3709 |
| Harpreet S Basran | Sports Medicine | Central Dupage Physician Group | 420 N Il Route 31, Crystal Lake, IL 60012-3709 |
| Christopher Taylor Stone | Physician Assistant | Central Dupage Physician Group | 420 N Il Route 31, Crystal Lake, IL 60012-3709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward B Rusin | Psychologist, Clinical | 7009 Crystal Springs Rd, Crystal Lake, IL 60012-1154 | |
| Linda Bedsole | Clinical Psychologist | Creative Psychology, Ltd. | 3305 Opengate Rd, Crystal Lake, IL 60012-1171 |
| Antonio C Yuk | Neurosurgery | 380 N Terra Cotta Rd, Suite I, Crystal Lake, IL 60012-1809 | |
| Hiralal Goklani Maheshwari | Endocrinology | 380 N Terra Cotta Rd, Suite A, Crystal Lake, IL 60012-1809 | |
| Margaret Miller | Occupational Therapy | Bowes In-home Care, Inc | 965 N Brighton Cir W, Crystal Lake, IL 60012-2036 |
| Lori Conway | Occupational Therapy | Bowes In-home Care, Inc | 965 N Brighton Cir W, Crystal Lake, IL 60012-2036 |
| Tracy Shadley | Nurse Practitioner | Chestnut Health of Illinois LLC | 1000 E Brighton Ln, Crystal Lake, IL 60012-2074 |
| Laura Ann Strong | Psychologist, Clinical | 8600 Us Hwy 14, Suite 105, Crystal Lake, IL 60012-2700 | |
| John P Terlep | Chiropractic | 8600 Us Hwy 14 140, Crystal Lake, IL 60012-2700 | |
| Gale L Harris | Clinical Social Worker | 8600 Us Route 14, Suite 105, Crystal Lake, IL 60012-2700 | |
| Find all physicians in zip 60012 | |||
| City | CRYSTAL LAKE |
| Zip Code | 60012 |
| Specialty | SPORTS MEDICINE |
| City + Specialty | CRYSTAL LAKE + SPORTS MEDICINE |
Please comment or provide details below to improve the information on Robert T Nixon Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.