Individual
JARED ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
251 E HURON ST STE 5-704, CHICAGO, IL 60611-2908
(312) 695-0061
(312) 695-7605
Mailing address
251 E HURON ST STE 5-704, CHICAGO, IL 60611-2908
(312) 695-0061
(312) 695-7605
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036156090
IL
207L00000X
Anesthesiology Physician
2024034940
MO
207R00000X
Internal Medicine Physician
94-09014
KS
Other
Enumeration date
06/07/2016
Last updated
09/18/2024
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