# J R ROBERTS MEDICAL INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922731637
- **Authorized official:** DR. JULIA R ROBERTS MD (PRESIDENT)
- **Authorized official phone:** (312) 890-0809

## Contact information

- **Practice address:** 1820 W 102ND PL, CHICAGO, IL 60643-5601
- **Practice address phone:** (630) 962-4776
- **Practice address fax:** (630) 277-9837
- **Mailing address:** 1820 W 102ND PL, CHICAGO, IL 60643-5601
- **Mailing address phone:** (630) 962-4776
- **Mailing address fax:** (630) 277-9837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2022
- **Last updated:** 07/14/2025