Healthcare Provider Details

I. General information

NPI: 1043026826
Provider Name (Legal Business Name): ROBERT ESGUERRA APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2024
Last Update Date: 12/06/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 CALAMOS CT
NAPERVILLE IL
60563-3284
US

IV. Provider business mailing address

2020 CALAMOS CT
NAPERVILLE IL
60563-3284
US

V. Phone/Fax

Practice location:
  • Phone: 888-402-0202
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209031190
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: