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General NPI Number Information
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NPI Number | 1952285397
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Entity Type | Individual
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Provider Name | JAMIE L ROBERTS
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Gender | Female
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 420 LAKE COOK RD STE 120
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City | DEERFIELD
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State | IL
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Zip | 60015-4914
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Country | US
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Telephone | 224-707-1572
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Fax |
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Provider Business Mailing Address
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Address Line | 1355 N SANDBURG TER APT 604D
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City | CHICAGO
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State | IL
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Zip | 60610-7965
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Country | US
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Telephone | 980-233-1574
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146018509
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License Number State | IL
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