Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENRICK L ROBERTS, PHYSICIAN ASSISTANT
ActiveKENRICK L ROBERTS, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in EVERGREEN PARK, Illinois. NPI 1265754329 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · EVERGREEN PARK, IL
Registration Details
- NPI Number
- 1265754329
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 17, 2010 (16.447025521885 yrs)
- Last Updated
- Apr 29, 2021
- Licenses
-
085003520 (IL)085003520 (IL)085-003520 (IL)
Practice Information
- Address
-
2850 W 95TH STSUITE 301EVERGREEN PARK, IL, 608052735Browse IL providers · Browse ZIP 60805
- Phone
- 7083892200
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in EVERGREEN PARK, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. STEPHANIE J CERMAK | PA-C | 1063779270 |
| MRS. RACHEL BRUCAS | PA-C | 1457894768 |
| MONICA LYNN HAND | PA-C | 1366961203 |
| JESSICA BERGER | PA-C | 1134639008 |
| CHRISTOPHER MICHAEL KRIPPINGER | PA-C | 1801301494 |
| CHRISTINE NAJARIAN | PA-C | 1518445543 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.