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NPI Code Detail

MEDICARE: DR. DAVID W ROBERTS MD

MEDICARE: DR. DAVID W ROBERTS MD
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
1207XP3100XPediatric Orthopaedic Surgery Physician125052813IL
2207X00000XOrthopaedic Surgery Physician036132185IL

General Provider Information

NPI Number : 1003062514
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID W ROBERTS MD
Provider Business Mailing Address
First Line : 2650 RIDGE AVE # 1223
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number : 847-570-2040
Fax Number : 847-733-5315
Provider Business Practice Location Address
First Line : 9650 GROSS POINT RD
Second Line : SUITE 2900
City : SKOKIE
State : IL
Zip : 60076-1214
Country : US
Telephone Number : 847-866-7846
Fax Number : 224-251-2905
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2008
Last Update Date : 03/03/2026

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