Healthcare Provider Details

I. General information

NPI: 1679000707
Provider Name (Legal Business Name): GERARDO ROBLES DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: GERRY ROBLES DPT

II. Dates (important events)

Enumeration Date: 05/19/2017
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 W OGDEN AVE STE 300
NAPERVILLE IL
60540-3998
US

IV. Provider business mailing address

1580 W OGDEN AVE STE 300
NAPERVILLE IL
60540-3998
US

V. Phone/Fax

Practice location:
  • Phone: 630-465-5625
  • Fax: 630-465-5625
Mailing address:
  • Phone: 630-465-5625
  • Fax: 630-465-5625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070022935
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: