Provider Demographics
NPI:1871703215
Name:HAND, ROBERT MITCHUM (OTC)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:MITCHUM
Last Name:HAND
Suffix:
Gender:M
Credentials:OTC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1310 VALLEY LAKE DR
Mailing Address - Street 2:APT.440
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60195-3637
Mailing Address - Country:US
Mailing Address - Phone:847-519-1935
Mailing Address - Fax:847-519-1935
Practice Address - Street 1:901 BIESTERFIELD RD
Practice Address - Street 2:SUITE 300
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-3392
Practice Address - Country:US
Practice Address - Phone:847-437-9889
Practice Address - Fax:847-301-2829
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other