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Organization

ESTEEMED PHYSICIANS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JULIA R ROBERTS MD (PRESIDENT/MEDICAL DIRECTOR)
(312) 890-0809
Entity
Organization

Contact information

Practice address
1616 E 56TH ST UNIT 1203, CHICAGO, IL 60637-2710
(312) 890-0809
Mailing address
1616 E 56TH ST UNIT 1203, CHICAGO, IL 60637-2710
(312) 890-0809

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036073364
IL
Enumeration date
10/26/2021
Last updated
10/26/2021
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