Roberts, Kenrick L

Roberts, Kenrick L is an individual health care provider with primary practice located at 2850 W 95Th St Suite 301, Evergreen Park IL 60805-2735. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Roberts, Kenrick L can be contacted via phone (708) 389-2200.

Contact Information

Primary practice address
2850 W 95Th St Suite 301 Evergreen Park IL 60805-2735
Phone: (708) 389-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085003520 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085003520 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-003520 Illinois

Profile Details

NPI number 1265754329
LBN Legal business name Roberts, Kenrick L
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2010
Last updated Apr 29th, 2021 - about 3 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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