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Bradford C Roberg

Plastic and Reconstructive Surgery

5714 S State Route 31
Crystal Lake , Illinois 60014-4520

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Bradford C Roberg

Plastic and Reconstructive Surgery

5714 S State Route 31
Crystal Lake , Illinois 60014-4520

(847) 967-8594

Write a Review Save Call

Bradford C Roberg

Plastic and Reconstructive Surgery

5714 S State Route 31
Crystal Lake , Illinois 60014-4520

(847) 967-8594 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Plastic and Reconstructive Surgery

Languages spoken

  • English

Location

5714 S State Route 31 Crystal Lake , Illinois 60014-4520

First Address

  • Bradford C Roberg
  • 8135 N Milwaukee Ave
  • Niles, IL
  • Zip : 60714-2828
  • Fax : (847) 967-8594
  • Phone : (847) 967-8098

Second Address

  • Bradford C Roberg
  • 5714 S State Route 31
  • Crystal Lake, IL
  • Zip : 60014-4520
  • Fax : (815) 356-7513
  • Phone : (815) 356-7000

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FAQs


Where did Bradford C Roberg attend graduate school?

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Where did Bradford C Roberg do his residency?

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Where did Bradford C Roberg do his fellowship?

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Is Bradford C Roberg board certified?

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What type of doctor is Bradford C Roberg

Plastic and Reconstructive Surgery

In what state does Bradford C Roberg practice in?

Illinois

Where is Bradford C Roberg ’s practice located?

5714 S State Route 31 , Crystal Lake, Illinois, 60014-4520

What is Bradford C Roberg ’s gender?

Male

Is Bradford C Roberg a sole practitioner?

No

Is Bradford C Roberg accepting new patients?

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What languages does Bradford C Roberg speak?

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Does Bradford C Roberg accept insurance?

Yes, Bradford C Roberg accepts insurance

Does Bradford C Roberg offers telemedicine?

Bradford C Roberg has not indicated if he offers telemedicine

What is Bradford C Roberg ’s professional license number?

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What is Bradford C Roberg ’s NPI number?

1316946072

Does Bradford C Roberg have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2086S0122X Plastic and Reconstructive Surgery IL

National Provider Identifier

NPI 1316946072
Provider Name Bradford C Roberg
First Address Niles, IL 60714-2828
Second Address Crystal Lake, IL 60014-4520
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 15/07/2005
Last Update Date 08/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
00732007 BLUE SHIELD OF ILLINOIS (01) IL
C75640 (02) IL

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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