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NPI Code Detail

MEDICARE: MS. JOANN ROBERTS

MEDICARE: MS. JOANN ROBERTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1831496728
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOANN ROBERTS
Provider Business Mailing Address
First Line : 111 N COUNTY FARM RD
Second Line :
City : WHEATON
State : IL
Zip : 60187-3988
Country : US
Telephone Number : 630-221-7372
Fax Number :
Provider Business Practice Location Address
First Line : 111 N COUNTY FARM RD
Second Line :
City : WHEATON
State : IL
Zip : 60187-3988
Country : US
Telephone Number : 630-221-7372
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2011
Last Update Date : 06/26/2025

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