Bradford C Roberg in Niles - Plastic And Reconstructive Surgery
Bradford C Roberg - NPI 1316946072
Bradford C Roberg is a Plastic And Reconstructive Surgery in Niles, Illinois. Bradford C Roberg practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Bradford C Roberg is 1316946072. The last update date is 2007-07-08.
Bradford C Roberg's current location address is 8135 N Milwaukee Ave, Niles, Illinois. You can contact this provider via phone number 8479678098 and fax number 8479678594. The mailing address for Bradford C Roberg is 8135 N Milwaukee Ave, Niles, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradford C Roberg |
|---|---|
| Address | 8135 N Milwaukee Ave, Niles, Illinois |
| Phone Number | 8479678098 |
| Fax Number | 8479678594 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1316946072 |
|---|---|
| Provider Enumeration Date | 2005-07-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8135 N Milwaukee Ave |
|---|---|
| City | Niles |
| State | Illinois (IL) |
| Post Code | 607142828 |
| Phone Number | 8479678098 |
| Fax Number | 8479678594 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 732007 | IL | BLUE SHIELD OF ILLINOIS |
Post Comment/ Review Below
What is the Bradford C Roberg's 1316946072?
The Bradford C Roberg's NPI (National Provider Identifier) Number is 1316946072. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Bradford C Roberg's physical address?
The Bradford C Roberg is physically located at 8135 N Milwaukee Ave, in the city of Niles, IL, with the postal code 607142828.
What is the area of specialization for Bradford C Roberg, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bradford C Roberg is Plastic And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0122X.
On what date was the 1316946072 assigned to Bradford C Roberg?
The Bradford C Roberg was issued its 1316946072 on 2005-07-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Bradford C Roberg, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bradford C Roberg, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.