DR. JONATHAN CHARLES ROBERTS


Address: 9128 N Lindbergh Dr, Peoria, IL 61615-1422
Phone: 3096925337

DR. JONATHAN CHARLES ROBERTS (NPI# 1871757070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871757070
Entity Type Individual
Full Name DR. JONATHAN CHARLES ROBERTS
Credential M.D.
Practice Address 9128 N Lindbergh Dr
Peoria
IL 61615-1422
Practice Telephone 3096925337
Practice Fax Number 3096933913
Mailing Telephone 3096925337
Mailing Fax Number 3096933913
Enumeration Date 2008-07-16
Last Update Date 2015-11-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics 55876 WI Allopathic & Osteopathic Physicians
Y 208000000X Pediatrics 125.054688 IL Allopathic & Osteopathic Physicians
N 2080P0204X Pediatrics
Specialization: Pediatric Emergency Medicine
55876 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 1871757070 05

Other Providers JONATHAN ROBERTS

NPI Name Taxonomy Address Enumeration
1053972653 Jonathan Michael Roberts Student in an Organized Health Care Education/Training Program U of M, Department of Anesthesiology, 1500 East Medical Center Drive, 1h241 Uh, Ann Arbor, MI 48109-5048 2019-06-25
1023416542 Jonathan Roberts Counselor 1212 Richmond Ave, Staten Island, NY 10314-1506 2014-12-16
1710239041 Jonathan M. Roberts Pharmacist 1835 Florida Club Cir Apt 3204, Naples, FL 34112-8729 2012-10-10
1881751667 Jonathan Jerard Roberts Internal Medicine 429 E Airport Ave Ste 2, Baton Rouge, LA 70806 2007-01-02
1790843241 Jonathan Matthew Roberts Dentist 2121 25th Street, Suite 2, Columbus, IN 47201-3214 2006-12-05
1700985371 Jonathan L Roberts Chiropractor 230 W 6th St, Newton, KS 67114-2131 2006-09-21
1154385789 Jonathan S Roberts Internal Medicine 1150 N 35th Ave Ste 605, Hollywood, FL 33021 2006-04-12
1861763310 Jonathan Roberts Dentist 501 Madison Ave, New York, NY 10022-5602 2012-01-14
1649406224 Jonathan Chambers Roberts Student in an Organized Health Care Education/Training Program 1 Deaconess Rd, Wcc2, Department of Emergency Medicine, Boston, MA 02215-5321 2009-06-09
1710127063 Jonathan Roberts Social Worker 4353 E Colfax Ave, Denver, CO 80220-1115 2009-02-26

Office Location

Street Address 9128 N LINDBERGH DR
City PEORIA
State IL
Zip Code 61615-1422

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396731063 Michael D Tarantino Pediatrics 9128 N Lindbergh Dr, Peoria, IL 61615-1422 2005-09-27
1396396024 Kristin T Ansteatt Registered Nurse 9128 N Lindbergh Dr, Peoria, IL 61615-1422 2019-09-24
1225571219 Jackie Marie Helms Nurse Practitioner 9128 N Lindbergh Dr, Peoria, IL 61615-1422 2016-11-23
1720450026 Elizabeth Ann Lepper Nurse Practitioner 9128 N Lindbergh Dr, Peoria, IL 61615-1422 2015-10-26
1639508567 The Bleeding and Clotting Disorders Institute Pharmacy 9128 N Lindbergh Dr, Peoria, IL 61615-1422 2013-11-01
1639434871 Stephanie Lynn Arnold Pharmacist 9128 N Lindbergh Dr, Peoria, IL 61615-1422 2012-07-12
1962783431 The Bleeding and Clotting Disorders Institute Pharmacy 9128 N Lindbergh Dr, Peoria, IL 61615-1422 2011-08-29
1134424633 The Bleeding and Clotting Disorders Institute Clinic/Center 9128 N Lindbergh Dr, Peoria, IL 61615-1422 2011-01-14
1538469481 Rohith Jesudas Pediatrics 9128 N Lindbergh Dr, Peoria, IL 61615-1422 2010-10-26
1366461139 Amanda Kilgore Physical Therapist 9128 N Lindbergh Dr, Peoria, IL 61615 2006-07-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124627906 Lance Jay Bucher Occupational Therapist 8600 Il-91, Peoria, IL 61615 2020-10-22
1093327496 Angela Mitchell Speech-Language Pathologist 3903 W Ridgeview Dr, Peoria, IL 61615 2020-08-18
1578110680 Emily E Buenting Audiologist 8600 Il Route 91, Suite 300, Peoria, IL 61615 2019-08-22
1730655572 Sylwia M. Budzik Physician Assistant 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 2018-10-19
1487169207 Heather Hart Registered Nurse 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 2017-12-04
1528586849 Leanne Runyon Speech-Language Pathologist 10723 Collett Dr., Peoria, IL 61615 2017-09-07
1467974196 Elizabeth A Mcleod Nurse Practitioner 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 2017-07-14
1790223022 Janet Warner Counselor 8914 North Prarie Court, Peoria, IL 61615 2017-02-07
1437524022 Brooke Bisping Dietitian, Registered 7610 North Orange Prairie Road, Peoria, IL 61615 2015-12-08
1003292111 Crystal Ann Casper Dietitian, Registered 7610 N Orange Prarie Road, Peoria, IL 61615 2015-07-31
Find all providers in zip 61615

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780200865 Kuang Chuen Liu Pediatrics 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 2020-06-24
1578186839 Katie Michelle Stapleton Pediatrics Osf St Francis Medical Center 530 Ne Glen Oak Avenue, Peoria, IL 61637-0001 2020-05-21
1760042162 Paulette Padilla Pediatrics 3128 N Linnhill Ct, Peoria, IL 61604-1650 2019-06-18
1942799465 Khaled Faisal Abdul Rahman Pediatrics 530 Ne Glen Oak Ave Bldg 5th, Peoria, IL 61637-0001 2018-05-10
1356859128 Pleasant Pediatrics Plc Pediatrics 10204 W Happy Valley Rd Ste 165, Peoria, AZ 85383-2880 2018-01-16
1427408863 Josef Newman Pediatrics 5654 N Building, 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2016-06-16
1962856054 Brittany Nichole Vaio Pediatrics 9059 W Lake Pleasant Pkwy Suite E-540, Peoria, AZ 85382 2016-04-15
1790025591 Pleasant Pediatrics Plc Pediatrics 9744 W Northern Ave, Suite 1310, Peoria, AZ 85345-4603 2013-02-15
1629365424 May C Sun Pediatrics 2401 W Alta Rd Apt 905, Peoria, IL 61615-1290 2011-06-30
1205064003 Sandhya Chaudhari Pediatrics 530 Ne Glran Oak Ave, Peoria, IL 61637-0001 2009-06-30
Find all providers in PEORIA

Competitor

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City PEORIA
Zip Code 61615

Improve Information

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Dataset Information

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.

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