Individual
DR. VINCENT JAMES KAMHOLTZ ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
817 CHICAGO AVE APT 5, EVANSTON, IL 60202
(773) 425-8333
Mailing address
817 CHICAGO AVE APT 5, EVANSTON, IL 60202-2353
(773) 425-8333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038 008466
IL
111NX0800X
Orthopedic Chiropractor
Primary
038008466
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4532199
BLUE CROSS
IL
Enumeration date
02/03/2006
Last updated
09/13/2018
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