Provider Demographics
NPI:1497873970
Name:ROBERTS, ROXANNE R (MD)
Entity Type:Individual
Prefix:DR
First Name:ROXANNE
Middle Name:R
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5985 TRAIL END RD
Mailing Address - Street 2:
Mailing Address - City:THREE OAKS
Mailing Address - State:MI
Mailing Address - Zip Code:49128-9760
Mailing Address - Country:US
Mailing Address - Phone:269-756-7477
Mailing Address - Fax:312-864-9020
Practice Address - Street 1:1900 W POLK ST
Practice Address - Street 2:TRAUMA OFFICE 1300
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3723
Practice Address - Country:US
Practice Address - Phone:312-864-2754
Practice Address - Fax:312-864-9169
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL2086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery