Individual
KRISTEN ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24050 W CHAMPION DR, PLAINFIELD, IL 60585-9581
(815) 254-4204
Mailing address
24050 W CHAMPION DR, PLAINFIELD, IL 60585-9581
(815) 254-4204
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
05/23/2010
Last updated
05/23/2010
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