Roberta Dearth, is a
Massage Therapist based in Channahon, Illinois. Roberta Dearth is licensed to practice in Illinois (license number 227008582) and her current practice location is
25652 W Colleen Ct, Channahon, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 791-1510.
NPI number for Roberta Dearth is 1942531462 and her current mailing address is 25652 W Colleen Ct, Channahon, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942531462.
Healthcare Provider's Profile
Full Name | Roberta Dearth |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 25652 W Colleen Ct, Channahon, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942531462
- Provider Enumeration Date: 01/22/2010
- Last Update Date: 01/22/2010
Medical Identifiers
Medical identifiers for Roberta Dearth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942531462 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 227008582 (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. Roberta Dearth 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 |
Roberta Dearth, 25652 W Colleen Ct, Channahon, IL 60410-8638 Ph: (815) 791-1510 | Roberta Dearth, 25652 W Colleen Ct, Channahon, IL 60410-8638 Ph: (815) 791-1510 |
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