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NPI Code Detail

MEDICARE: GERARDO ROBLES DPT

MEDICARE:   GERARDO  ROBLES  DPT
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
1225100000XPhysical Therapist070022935IL

General Provider Information

NPI Number : 1679000707
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERARDO ROBLES DPT
Provider Business Mailing Address
First Line : 1580 W OGDEN AVE STE 300
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-3998
Country : US
Telephone Number : 630-465-5625
Fax Number : 630-465-5625
Provider Business Practice Location Address
First Line : 1580 W OGDEN AVE STE 300
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-3998
Country : US
Telephone Number : 630-465-5625
Fax Number : 630-465-5625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2017
Last Update Date : 04/28/2026

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Directions to “ GERARDO ROBLES DPT” Practice Location

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