Joe Roberson Mardis in Homewood - Professional
Joe Roberson Mardis - NPI 1346307675
Joe Roberson Mardis is a Professional in Homewood, Illinois. Joe Roberson Mardis practices all healthcare services and medical treatments related to Professional. The NPI Number for Joe Roberson Mardis is 1346307675. The last update date is 2007-07-08.
Joe Roberson Mardis's current location address is 1725 187th St, Homewood, Illinois. You can contact this provider via phone number 7089068816 and fax number 7089220907. The mailing address for Joe Roberson Mardis is 1725 187th St, Homewood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joe Roberson Mardis |
|---|---|
| Address | 1725 187th St, Homewood, Illinois |
| Phone Number | 7089068816 |
| Fax Number | 7089220907 |
| Sole Proprietor | Y |
| Credentials | LCPC |
NPI Number Detail
| NPI Number | 1346307675 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1725 187th St |
|---|---|
| City | Homewood |
| State | Illinois (IL) |
| Post Code | 604303853 |
| Phone Number | 7089068816 |
| Fax Number | 7089220907 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 180-002029 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Post Comment/ Review Below
What is the Joe Roberson Mardis's 1346307675?
The Joe Roberson Mardis's NPI (National Provider Identifier) Number is 1346307675. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Joe Roberson Mardis is located?
The Joe Roberson Mardis is situated at the following address: 1725 187Th St, Homewood, IL, 604303853.
What is Joe Roberson Mardis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Joe Roberson Mardis's area of specialization is Professional, and the corresponding taxonomy code that categorizes this field of practice is 101Yp2500X.
On what date did the Joe Roberson Mardis receive its 1346307675 assignment from the Centers for Medicare & Medicaid Services?
The Joe Roberson Mardis was assigned its 1346307675 by the Centers for Medicare & Medicaid Services on 2007-01-03.
When was the information regarding Joe Roberson Mardis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Joe Roberson Mardis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.