Individual
ROBERT ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 334-5566
(815) 759-4008
Mailing address
6830 E IRONWOOD DR, PARADISE VALLEY, AZ 85253-2655
(480) 443-9391
(480) 443-9390
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036104576
IL
2085R0202X
Diagnostic Radiology Physician
30223
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271083
VRL
AZ
01
—
698516
AHCCCS
AZ
Enumeration date
10/20/2005
Last updated
11/08/2023
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