Individual
SHIRECE L ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-6000
Mailing address
8123 S CHRISTIANA AVE, CHICAGO, IL 60652-2513
(773) 251-1478
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
041313146
IL
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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