Cristobal Robledo LLC

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

238000484 Issued in IL

Legal business name

CRISTOBAL ROBLEDO LLC

Practice address

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

Phone

(708) 577-9077

NPI assigned

May 22, 2018

Organization subpart

No

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

Authorized official

Name

Cristobal Robledo, SURGICAL ASSISTANTNPI 1104361930

Title

President

Phone

(708) 577-9077

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cristobal Robledo, SURGICAL ASSISTANT

  • Surgical Assistant
  • Evergreen Park, IL
  • NPI 1104361930
  NPD (past) Authorized official

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1174014435",
    "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": {
        "organization_name": "CRISTOBAL ROBLEDO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "ROBLEDO",
        "authorized_official_first_name": "CRISTOBAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-577-9077",
        "authorized_official_credential": "SURGICAL ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IL",
            "license": "238000484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "I HAVE NOT USED",
            "identifier": "1104361930",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Siobhan T. Cotter, O.T.
• Natalia Adriana Cotton, PA-C
• Jennifer Courts, APN
• Lashonda Marie Cox, RN
• Paul Wesley Crawford, M.D.
• Stephanie Ann Cunnane, SLP
• Cathleen Ingrid Currie, IBCLC
• Meghan Curtin, PSYD
• Susan Marie Curtis, PSYD
• Elizabeth Cutright

• 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 May 22, 2018; 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.