Mark J Roberts M.D.

NPI 1447400379 - Pathology - 207ZH0000X

NPI Details
NPI 1447400379
Gender Male
Enumeration Date 09/28/2008
Last Updated 07/11/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
2900 N. LAKE SHORE DRIVE
ST. JOSEPH HOSPITAL DEPARTMENT OF PATHOLOGY
CHICAGO IL, 60657-5640, US
Phone (312) 613-2475
Fax
Business Location
PO BOX 2486
INDIANAPOLIS IN, 46206-2486, US
Phone (317) 705-5050
Fax
Toxanomy
Taxonomy Code 207ZH0000X
License State Illinois
License Number 036119911
Remove 1447400379 NPI Number
 

According to our database, Dr. Mark J Roberts M.D. NPI is 1447400379, taxonomy code is 207ZH0000X and license number is 036119911, license state is located at Illinois. Mark J Roberts M.D. physically located at 2900 N. Lake Shore Drive, Chicago IL, 60657-5640. NPI Number Mark J Roberts M.D. has the Individual type.

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1447400379 NPI number is provided on an as is basis without warranty of any kind. 1447400379 is maintained by the National Plan & Provider Enumeration System. The contents of Mark J Roberts M.D. are for informational purposes only.