Active NPI
Chester Robson, DO
- Family Medicine Physician
- Woodridge, IL
National Provider Identifier
1699733014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36110006
- Practice address
- 7425 Janes Ave
Suite 100
Woodridge, IL 60517-2356 - Phone
- (630) 969-9096
- Fax
- (630) 969-1095
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36110006 | IL | Primary |
Addresses
Primary practice location
7425 Janes Ave
Suite 100
Woodridge, IL 60517-2356
Mailing address
PO Box 7009
Bolingbrook, IL 60440-7009
Phone (630) 312-7865
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036110006 | Medicaid | IL | |
| 400480 | Other | IL | GROUP MEDICARE PTAN |
| CN4921 | Other | IL | RRMC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240311002750 | FL | Practitioner - Family Practice | 9739089020 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph Lagattuta MD LTD | Past | Accepting new patients | |
| Adventist Health Partners,Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- La Grange, IL
- NPI 1215943576
Family Medicine
-
- Gastroenterology Physician
- Bloomingdale, IL
- NPI 1922212091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298851200000",
"number": "1699733014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7009",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604407009",
"telephone_number": "630-312-7865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7425 JANES AVE",
"address_2": "SUITE 100",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605172356",
"telephone_number": "630-969-9096",
"fax_number": "630-969-1095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBSON",
"first_name": "CHESTER",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2011-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "36110006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036110006",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PTAN",
"identifier": "400480",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "CN4921",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.