Doctor Name: | DR. DAVID C. ROBLE |
NPI Number: | 1174524342 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 036044819 |
Business Practice Address: | 960 N 5th Ave Suite B St Charles, IL - 601741205 |
Business Phone Number: | 6305843029 |
Business Fax Number: | 6305840538 |
Mailing Address: | 960 N 5th Ave, Suite B ST CHARLES |
State: | IL |
Postal Code: | 601741205 |
Phone Number: | 6305843029 |
Fax Number: | 6305840538 |
NPI Enumeration Date: | 08/10/2005 |
NPI Last Update Date: | 07/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 036044819 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |