Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jordan Pierson Garner Roberts, PA-C

Individual provider Physician Assistant · NPI 1801263801

Jordan Pierson Garner Roberts, PA-C is a Physician Assistant in Chicago, Illinois. Licensed in Illinois and Texas. Registered with an NPI since 2015.

Licensed in
IL, TX
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

800 W Diversey Pkwy # 200
Chicago, IL 60614-1412
Phone: (312) 796-7121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085005576 (IL)
Physician Assistant Taxonomy 363A00000X · Licence PA10061 (TX)

Record details

NPI number1801263801
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 25, 2015
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023

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