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NPI Code Detail

MEDICARE: PAMELA LYNN ROPER MD

MEDICARE:   PAMELA LYNN ROPER  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
1208000000XPediatrics Physician036-106736IL

General Provider Information

NPI Number : 1457433237
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA LYNN ROPER MD
Provider Business Mailing Address
First Line : 1220 S. WOOD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60608-1202
Country : US
Telephone Number : 312-996-2000
Fax Number : 312-413-7818
Provider Business Practice Location Address
First Line : 1220 S. WOOD ST.
Second Line :
City : CHICAGO
State : IL
Zip : 60608-1202
Country : US
Telephone Number : 312-996-2000
Fax Number : 312-413-7818
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 03/07/2014

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Directions to “ PAMELA LYNN ROPER MD” Practice Location

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