Individual
DEANGELA ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA
Contact information
Practice address
1212 N. LASALLE, STE 100/ SURGERY CENTER, CHICAGO, IL 60610
(312) 943-7246
Mailing address
3580 SCHOOL DR, COUNTRY CLUB HILLS, IL 60478-4986
(708) 439-0652
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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