Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Robert J Dizes Jr., PA-C

Individual provider Physician Assistant · NPI 1871686790

Robert J Dizes Jr., PA-C is a Physician Assistant in Shiloh, Illinois. Qualified in 1997, 29 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
29
Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1414 Cross St Ste 230
Shiloh, IL 62269-2988
Phone: (618) 607-1260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085001206 (IL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085001206 (IL)

Record details

NPI number1871686790
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESAugust 19, 2022
Certification dateAugust 17, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Shiloh