DR. ROBERT CARL JESPERSEN (NPI# 1407939630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407939630 |
| Entity Type | Individual |
| Full Name | DR. ROBERT CARL JESPERSEN |
| Credential | M.D. |
| Practice Address |
625 Slawin Ct Mount Prospect IL 60056-2183 |
| Mailing Address |
5701 N Sheridan Rd #28-s Chicago IL 60660-4771 |
| Practice Telephone | 8477897155 |
| Practice Fax Number | 8477897161 |
| Mailing Telephone | 7739895429 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2019-02-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
036070086 | IL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 036070086 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PTAN | F300267780 | 01 |
| IL | 036070086 | 05 | |
| IL | BCBS | 0001627310 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5701 N Sheridan Rd, #28-s, Chicago, IL 606604771 | 7737847852 |
| Street Address |
625 SLAWIN CT |
| City | MOUNT PROSPECT |
| State | IL |
| Zip Code | 60056-2183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144888173 | Martin Montoya | Counselor | 625 Slawin Ct, Mount Prospect, IL 60056-2183 | 2019-06-04 |
| 1861863284 | Melissa Rittgers | Behavioral Analyst | 625 Slawin Ct, Mount Prospect, IL 60056-2183 | 2015-10-12 |
| 1629491261 | Nicole Kioussis | Counselor | 625 Slawin Ct, Mount Prospect, IL 60056-2183 | 2014-02-03 |
| 1023380003 | Ai Hashinoguchi | Social Worker | 625 Slawin Ct, Mount Prospect, IL 60056-2183 | 2012-02-06 |
| 1306162714 | Katie Ann Schmid | Counselor | 625 Slawin Ct, Mount Prospect, IL 60056-2183 | 2010-04-09 |
| 1508042987 | Rachel A Haught | Counselor | 625 Slawin Ct, Mount Prospect, IL 60056-2183 | 2008-01-15 |
| 1871649145 | Search, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 625 Slawin Ct, Mount Prospect, IL 60056-2183 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023649829 | Blocki and Bashford Dental, LLC | Dentist | 200 E. Evergreen, Suite 129, Mt. Prospect, IL 60056 | 2020-01-30 |
| 1740745934 | Luminate Therapy Group of Illinois, LLC | Behavioral Analyst | 580 Slawin Court, Mt. Prospect, IL 60056 | 2019-02-01 |
| 1952884009 | Erin Kathleen Neal | Social Worker | 1550 Bishop Court, Mount Prospect, IL 60056 | 2018-09-13 |
| 1215431028 | Teandra Gelemer Delancy | Social Worker | Kenneth Young Center, 1585 West Dempster St, Mt. Prospect, IL 60056 | 2018-03-19 |
| 1578071650 | Azk Transportation Inc | Non-emergency Medical Transport (VAN) | 415 E Prospect Ave, 3c, Mount Prospect, IL 60056 | 2018-01-11 |
| 1275059859 | Sara Tyburski | Psychologist | 701 W Gregory, Mount Prospect, IL 60056 | 2017-08-16 |
| 1487197257 | Roma R D'silva | General Practice | 608 South Noah Terrace, Mount Prospect, IL 60056 | 2016-11-29 |
| 1568918159 | Georgeshia Norwood | Social Worker | 1820 West Dempster, Mount Prospect, IL 60056 | 2016-09-01 |
| 1568919025 | Scott G Smoron Dds Msd Ltd | Dentist | 421 W. Prospect Ave., Mount Prospect, IL 60056 | 2016-09-01 |
| 1568918365 | Kathleen Huttner | Counselor | 1820 W. Dempser, Kenneth Young Center, Mount Prospect, IL 60056 | 2016-08-31 |
| Find all providers in zip 60056 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437551546 | Midwest Mind Care Inc. | Psychiatry & Neurology | 800 E Northwest Hwy, Ste# 106, Mount Prospect, IL 60056-3457 | 2014-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840659 | Amelia Mari Merz | Psychiatry & Neurology | 1101 Lake St Ste 201b, Oak Park, IL 60301-1046 | 2020-10-27 |
| 1063024925 | Mindful Psychiatric Care LLC | Psychiatry & Neurology | 120 E Ogden Ave Ste 101, Hinsdale, IL 60521-3892 | 2020-08-20 |
| 1053921296 | Healing Hands Resource Center | Psychiatry & Neurology | 6607 W Main St, Belleville, IL 62223-3025 | 2020-08-03 |
| 1144848086 | Zachary A Kordik Md PC | Psychiatry & Neurology | 25 E Washington St Ste 904, Chicago, IL 60602-1715 | 2020-07-07 |
| 1629694278 | Montes Psychiatric Center, P.C. | Psychiatry & Neurology | 717 Trent Ln, Loves Park, IL 61111-8956 | 2020-06-19 |
| 1659996767 | Bluesky Telepsych | Psychiatry & Neurology | 4753 N Broadway St Ste 910, Chicago, IL 60640-4991 | 2020-06-15 |
| 1164047833 | Advanced Psychiatry Clinics, S.c. | Psychiatry & Neurology | 5519 N Cumberland Ave Ste 1016, Chicago, IL 60656-1480 | 2020-06-09 |
| 1326661802 | Psychmed Clinic Inc | Psychiatry & Neurology | 2159 W Madison St, Chicago, IL 60612-2307 | 2020-05-19 |
| 1467074534 | Holmes Psychiatry LLC | Psychiatry & Neurology | 2027 W Division St # 144, Chicago, IL 60622-9024 | 2020-05-12 |
| 1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT PROSPECT |
| Zip Code | 60056 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.