Bradford C Roberg, MD is a
Surgery - Plastic And Reconstructive Surgery physician based in Crystal Lake, Illinois. Bradford C Roberg is licensed to practice in Illinois (license number ) and his current practice location is 5714 S State Route 31, Crystal Lake, Illinois. He can be reached at his office (for appointments etc.) via phone at
(815) 356-7000.
NPI number for Bradford C Roberg is 1316946072 and his current mailing address is 8135 N Milwaukee Ave, Niles, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316946072.
Physician's Profile
Full Name | Bradford C Roberg |
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Gender | Male |
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Speciality | Surgery - Plastic And Reconstructive Surgery |
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Location | 5714 S State Route 31, Crystal Lake, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316946072
- Provider Enumeration Date: 07/15/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Bradford C Roberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316946072 | NPI | - | NPPES |
00732007 | Other | IL | BLUE SHIELD OF ILLINOIS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradford C Roberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bradford C Roberg, MD 8135 N Milwaukee Ave, Niles, IL 60714-2828 Ph: (847) 967-8098 | Bradford C Roberg, MD 5714 S State Route 31, Crystal Lake, IL 60014-4520 Ph: (815) 356-7000 |
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