Individual
MR. CHESTER ROBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7425 JANES AVE, SUITE 100, WOODRIDGE, IL 60517-2356
(630) 969-9096
(630) 969-1095
Mailing address
PO BOX 7009, BOLINGBROOK, IL 60440-7009
(630) 312-7865
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36110006
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110006
—
IL
01
—
400480
GROUP MEDICARE PTAN
IL
01
—
CN4921
RRMC
IL
Enumeration date
05/03/2006
Last updated
02/28/2011
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