Roberts, J. Romaine

Roberts, J. Romaine is an individual health care provider with primary practice located at 1229 N North Branch St , Chicago IL 60642-2473. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Roberts, J. Romaine can be contacted via phone (312) 445-5673.

Contact Information

Primary practice address
1229 N North Branch St Chicago IL 60642-2473
Fax: (312) 284-4755
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X D59996 Maryland
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 036.073364 Illinois
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 0101233240 Indiana

Profile Details

NPI number 1376528802
LBN Legal business name Roberts, J. Romaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Oct 18th, 2010 - about 15 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 1376528802 NPPES
Maryland MEDICAID 512302001
Maryland Other J784-0001

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