MEDICARE: MRS. KIMBERLY TAYLOR-ROBERTSON

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
1	104100000X	Social Worker	150.102359	IL

General Provider Information

NPI Number	:	1811410350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KIMBERLY TAYLOR-ROBERTSON

Provider Business Mailing Address
First Line	:	3015 191ST PL
Second Line	:
City	:	LANSING
State	:	IL
Zip	:	60438-3713
Country	:	US
Telephone Number	:	773-397-0618
Fax Number	:

Provider Business Practice Location Address
First Line	:	1867 N MAUD AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-4905
Country	:	US
Telephone Number	:	312-656-3290
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2017
Last Update Date	:	07/17/2017

Similar Medicare Providers

1073808515 — NYRO MURPHY LPC
Practice Location Address:

1867 N MAUD AVE
CHICAGO, IL
60614-4905

Practice Phone: 773-296-2145
Practice Fax:

1881072627 — ANTOINETTE BERRY
Practice Location Address:

1867 N MAUD AVE
CHICAGO, IL
60614-4905

Practice Phone: 312-656-3290
Practice Fax:

1578930236 — MS. TAYLOR TURNER
Practice Location Address:

1867 N MAUD AVE
CHICAGO, IL
60614-4905

Practice Phone: 312-656-3290
Practice Fax:

1871580126 — 4621 CORPORATION
Practice Location Address:

4621 N RACINE AVE
CHICAGO, IL
60640-4905

Practice Phone: 773-784-2300
Practice Fax: 773-769-4621

1245249432 — DR. PAUL B PENDLER PSY.D.
Practice Location Address:

405 N WABASH AVE UNIT 4905
CHICAGO, IL
60611-5692

Practice Phone: 312-422-1280
Practice Fax: 312-422-9339

1689770208 — LISA A RONE MD
Practice Location Address:

405 N WABASH AVE , SUITE 4905
CHICAGO, IL
60611-3591

Practice Phone: 312-245-9500
Practice Fax:

Directions to “ MRS. KIMBERLY TAYLOR-ROBERTSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.