Kenrick L Roberts, PHYSICIANASSISTANT
Kenrick L Roberts, PHYSICIANASSISTANT is a Physician Assistant in Evergreen Park, Illinois. Qualified in 2008, 18 years ago. Practices with Cook County, a 787-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 18
- Licensed in
- IL
- In the registry since
- 2010
- Specialties on file
- 3
Practice location Address checks out
2850 W 95th St Ste 301Evergreen Park, IL 60805-2735
Phone: (708) 389-2200
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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 085-003520 (IL) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 085003520 (IL) |
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence 085003520 (IL) |
Record details
| NPI number | 1265754329 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | No |
| NPI enumerated | February 17, 2010 |
| Last updated in NPPES | April 29, 2021 |
| Certification date | April 29, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2008 (18 years in practice) |
| Group practice | Cook County — 787 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Evergreen Park
-
Constance Patricia Kass
9760 S Kedzie Ave, Evergreen Park, IL 60805-3109 · (708) 423-8150
-
Alyssa Nicole Knueven, PA-C
3749 W 95th St, Evergreen Park, IL 60805-2019 · (708) 422-6569
-
Taylor Wen, PA-C
9858 S Western Ave, Evergreen Park, IL 60805-3200 · (312) 705-9750