Individual
MR. DAVID ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5580
(708) 684-4068
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
036080090
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036080090
—
IL
01
—
200029160
INDYPA
IN
Enumeration date
11/09/2005
Last updated
06/02/2022
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