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Bradford C Roberg, MD
Plastic and Reconstructive Surgery Physician in Crystal Lake, Illinois
NPI 1316946072

Bradford C Roberg is a Plastic and Reconstructive Surgery Physician based in Niles, IL and is specialized in Plastic and Reconstructive Surgery. Bradford C Roberg practices in Crystal Lake, IL and has the professional credentials of MD. The NPI Number for Bradford C Roberg is 1316946072 and holds a License No. (Illinois).

The current practice location address for Bradford C Roberg is 5714 S State Route 31, Crystal Lake, IL and can be reached out via phone at 815-356-7000 and via fax at 815-356-7513.

Location: 5714 S State Route 31, Crystal Lake, IL, 60714-2828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316946072
Provider Name
Bradford C Roberg
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5714 S State Route 31, Crystal Lake, IL, 60714-2828
Phone Number
815-356-7000
Fax Number
815-356-7513
Provider Enumeration Date
07/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00732007 01 IL BLUE SHIELD OF ILLINOIS
institution
Provider Business Practice Location Address Details
Address
5714 S State Route 31
City
Crystal Lake
State
Illinois
Zip
60014-4520
Phone Number
815-356-7000
Fax Number
815-356-7513
person
Provider Business Mailing Address Details
Address
5714 S State Route 31
City
Crystal Lake
State
Illinois
Zip
60014-4520
Phone Number
815-356-7000
Fax Number
815-356-7513
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
(Illinois)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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