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NPI Code Detail

MEDICARE: ALYSSA K HROBAT RD

MEDICARE: ALYSSA K HROBAT RD
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
1363A00000XPhysician Assistant085.012022IL
2133V00000XRegistered Dietitian164.008559IL

General Provider Information

NPI Number : 1386329357
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA K HROBAT RD
Provider Business Mailing Address
First Line : 1941 N ORCHARD ST APT 1E
Second Line :
City : CHICAGO
State : IL
Zip : 60614-2097
Country : US
Telephone Number : 216-308-8180
Fax Number :
Provider Business Practice Location Address
First Line : 5841 S MARYLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60637-1443
Country : US
Telephone Number : 216-308-8180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2023
Last Update Date : 01/30/2026

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