Individual
MICHELE L ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
21193 MALTA RD, MALTA, IL 60150-9600
(815) 752-3253
(815) 752-3277
Mailing address
13539 IL ROUTE 76, POPLAR GROVE, IL 61065-8832
(815) 765-0147
(815) 765-0427
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008500878
IL
Other
Enumeration date
02/14/2006
Last updated
05/19/2017
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