Organization Active NPI

Melissa Robledo MD SC

  • Internal Medicine Physician
  • Skokie, IL
National Provider Identifier
1407035611
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
035100559 Issued in IL
Legal business name
MELISSA ROBLEDO MD SC
Practice address
4711 Golf Rd
807
Skokie, IL 60076-1224
Phone
(847) 677-7502
Fax
(847) 677-7516
NPI assigned
Oct 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2010

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

Authorized official

Name
Dr. Melissa Jean Robledo, MD
Title
Owner
Phone
(847) 677-7502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 035100559 IL Primary

Addresses

Primary practice location

4711 Golf Rd
807
Skokie, IL 60076-1224

Mailing address

PO Box 9071
Belfast, ME 04915-9071
Phone (847) 677-7502

Other identifiers 4

IdentifierTypeStateIssuer
P00149077OtherILRAILROAD MEDICARE
0001633810OtherILBC
60054OtherILAETNA
62308OtherILCIGNA

National Provider Directory

National Provider Directory

Locations

4136 Dempster St
Skokie, IL 60076
Phone (224) 757-5748

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1407035611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9071",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049159071",
            "telephone_number": "847-677-7502",
            "fax_number": "847-677-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD",
            "address_2": "807",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761224",
            "telephone_number": "847-677-7502",
            "fax_number": "847-677-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA ROBLEDO MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "ROBLEDO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-677-7502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "035100559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00149077",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "0001633810",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "60054",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "62308",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.