Organization
EVANSTON SPINE AND REHAB P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT J ROBERTS DC, FACO (PRESIDENT)
(773) 425-8333
Entity
Organization
Contact information
Practice address
1325 HOWARD ST STE 309, EVANSTON, IL 60202-3788
(773) 425-8333
Mailing address
817 CHICAGO AVE APT 5, EVANSTON, IL 60202-2353
(773) 425-8333
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
09/25/2018
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