Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Sue Roberts, DO

Individual provider Emergency Medicine Physician · NPI 1417157546

Jennifer Sue Roberts, DO is an Emergency Medicine in Peoria, Illinois. Qualified in 2010, 16 years ago. Practices with Graham Hospital Association, a 123-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
16
Licensed in
IL
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 125.053318 (IL)

Record details

NPI number1417157546
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 18, 2007
Last updated in NPPESJuly 18, 2007
Mailing address2414 W Sherman Ave, West Peoria, IL 61604-5460

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Graham Hospital Association — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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