Individual
JOAN MARGARET ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-1853
Mailing address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-1000
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
209006227
IL
Other
Enumeration date
08/20/2007
Last updated
12/17/2015
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