Individual
SHAWN ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 N PRINCETON AVE, VILLA PARK, IL 60181-2336
(630) 779-9973
Mailing address
45 N PRINCETON AVE, VILLA PARK, IL 60181-2336
(630) 779-9973
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036153722
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/11/2015
Last updated
09/09/2020
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