Jespersen, Robert Carl

Jespersen, Robert Carl is an sole proprietor health care provider with primary practice located at 625 Slawin Ct , Mount Prospect IL 60056-2183. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Jespersen, Robert Carl can be contacted via phone (847) 789-7155.

Contact Information

Primary practice address
625 Slawin Ct Mount Prospect IL 60056-2183
Phone: (847) 789-7155
Fax: (847) 789-7161
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036070086 Illinois
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036070086 Illinois

Profile Details

NPI number 1407939630
LBN Legal business name Jespersen, Robert Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Feb 22nd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407939630 NPPES
Illinois Other F300267780 PTAN
Illinois MEDICAID 036070086 PTAN
Illinois Other 0001627310 PTAN

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