Individual provider · Type 1 NPI

Robert Herzog, PA

Physician Assistant · Carbondale, IL

NPI number 1902963614 Active

Practice location

2601 W Main St
Carbondale, IL 62901-1031

Call (618) 549-5361 Map

Fax (618) 351-4878

Mailing address

PO Box 3988
Carbondale, IL 62902-3988

Other practice locations

  • 900 N Washington St, Du Quoin, IL 62832-1233 · (618) 542-1050
  • 502 W Saint Louis St Ste 4, West Frankfort, IL 62896-1968 · (618) 937-3400
  • 405 Rushing Dr, Herrin, IL 62948-3730 · (618) 993-3000
  • 905 N Washington Street, Du Quoin, IL 62832-6283 · (618) 542-1050

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085-002116 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1902963614

Robert Herzog, PA's National Provider Identifier is 1902963614, issued on Jan 2, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Carbondale, IL. The record was last updated on Oct 13, 2023.