Stephanie Marie Roberts

Physician Assistant · Tinley Park, IL

Individual Active NPI

NPI number 1740814680

Practice location

17495 La Grange Rd
Tinley Park, IL 60487-7581
Phone
(708) 226-7000

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NPI record

NPI
1740814680
Entity type
Individual (Type 1)
Enumeration date
March 1, 2020
Last updated
January 8, 2025
Certified
January 8, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 085.008478 IL

Mailing address

1860 Paysphere Cir
Chicago, IL 60674-0018
Phone
(630) 469-9200

About Stephanie Roberts

Stephanie Marie Roberts is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 17495 La Grange Rd, Tinley Park, IL 60487-7581. The NPI number 1740814680 was assigned on March 1, 2020 and the record was last updated on January 8, 2025.

Stephanie Roberts lists a license in the registry: #085.008478 (IL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephanie Marie Roberts?

The NPI number is 1740814680.

What is the phone number of Stephanie Roberts?

The phone number listed for the practice location is (708) 226-7000.

Where is Stephanie Roberts located?

17495 La Grange Rd, Tinley Park, IL 60487-7581.

What is the taxonomy code for Stephanie Roberts?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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