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Individual
MR. CHESTER ROBSON
Active
Individual
MR. CHESTER ROBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36110006
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110006
—
IL
01
—
400480
GROUP MEDICARE PTAN
IL
01
—
CN4921
RRMC
IL
Enumeration date
05/03/2006
Last updated
02/28/2011
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