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Organization

J R ROBERTS MEDICAL INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JULIA R ROBERTS MD (PRESIDENT)
(312) 890-0809
Entity
Organization

Contact information

Practice address
1820 W 102ND PL, CHICAGO, IL 60643-5601
(630) 962-4776
(630) 277-9837
Mailing address
1820 W 102ND PL, CHICAGO, IL 60643-5601
(630) 962-4776
(630) 277-9837

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036073364
IL
Enumeration date
07/08/2022
Last updated
07/14/2025
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