Individual
MR. ROSS MATTHEW ROBARTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
901 BIESTERFIELD RD, SUITE #300, ELK GROVE VILLAGE, IL 60007-3392
(847) 437-9889
Mailing address
901 BIESTERFIELD RD, SUITE #300, ELK GROVE VILLAGE, IL 60007-3392
(847) 437-9889
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.004011
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085.004011
STATE LICENSE NUMBER
IL
Enumeration date
05/17/2011
Last updated
05/17/2011
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