Individual
JEFFREY B ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
6000 N ALLEN ROAD, PEORIA, IL 61614-3294
(309) 691-1400
Mailing address
6000 N ALLEN ROAD, PEORIA, IL 61614-3294
(309) 691-1400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
085001791
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085001791
—
IL
Enumeration date
05/16/2006
Last updated
10/26/2020
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