Mr. David Roberson

MD | Pediatric Cardiology | Male

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Complete Profile:

Mr. David Roberson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Mr. David Roberson
Credential :	MD
Gender :	Male

Business Address:

Mr. David Roberson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	4440 W 95th St Oak Lawn, IL, 60453-2600 United States
Phone Number :	708-684-5580
Fax Number :	708-684-4068

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1578544292
NPI Entity Type :	Individual
First Enrolment Date :	09 Nov, 2005
Last Updated On :	02 Jun, 2022

Medicare Participation:

Mr. David Roberson participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	6901701317
Medicare Enrollment ID :	I20031212000211
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Chicago, Pritzker School Of Medicine
Graduation Year :	1984
Accepts Medicare?	Yes. Mr. David Roberson accepts medicare insurance.

Group Practice Association:

Mr. David Roberson is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mr. David Roberson is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Advocate Health And Hospitals Corporation	7810800935	2081	214 Mchenry Rd Buffalo Grove, IL - 600896748 Ph: 8474591160	Yes
Advocate Health And Hospitals Corporation	7810800935	2081	4440 W 95th St Oak Lawn, IL - 604532600	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. David Roberson are as mentioned. Primary taxonomy code for Mr. David Roberson, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	036080090	IL

Legacy Identifiers:

Other legacy medical identifiers of Mr. David Roberson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
036080090	MEDICAID	IL
200029160	Other	IN	INDYPA

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	29373 Network Pl Chicago, IL, 60673-1293 United States
Phone Number :	847-390-5900

Business Location:

Patients can refer following map for directions to Mr. David Roberson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.