Search › Illinois › 363A00000X
Jordan Roberts, PA-C
NPI 1801263801 · on the registry since 2015
Practice
- Address
- 800 W Diversey Pkwy # 200
Chicago, IL 60614 - Phone
- (312) 796-7121
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- TX, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois