Individual
DR. ROBERT CARL JESPERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 SLAWIN CT, MOUNT PROSPECT, IL 60056-2183
(847) 789-7155
(847) 789-7161
Mailing address
5701 N SHERIDAN RD, #28-S, CHICAGO, IL 60660-4771
(773) 989-5429
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036070086
IL
208D00000X
General Practice Physician
036070086
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001627310
BCBS
IL
05
—
036070086
—
IL
01
—
F300267780
PTAN
IL
Enumeration date
10/23/2006
Last updated
02/22/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us