Cristobal Robledo, SURGICAL ASSISTANT

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

238000484 Issued in IL

Practice address

2900 W 102ND St
Evergreen Park, IL 60805-3553

Phone

(708) 577-9077

NPI assigned

Jan 3, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cristobal Robledo LLC

  • Surgical Assistant
  • Evergreen Park, IL
  • NPI 1174014435
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1104361930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W 102ND ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053553",
            "telephone_number": "708-577-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W 102ND ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053553",
            "telephone_number": "708-577-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLEDO",
        "first_name": "CRISTOBAL",
        "credential": "SURGICAL ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IL",
            "license": "238000484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam Rizzo, RPH
• Robert J. Bonk, D.O., LTD.
• Kenrick L Roberts, PHYSICIAN ASSISTANT
• Lin Roberts, M.D.
• Bruce Paul Robinson, LCSW
• Viviana Rodriguez, LSW
• Kristin Rogers
• Tammy Rohan Bobel, LCPC
• Mary T Rohan, CWOCN
• Clarence G Rojo, APN

• Surgical Assistant in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Surgical Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.