Shauntay Robertson

Primary specialty

SpecialistTaxonomy code 174400000X

License

011271944 Issued in IL

Practice address

7342 S Richmond St
Chicago, IL 60629-3015

Phone

(773) 671-4854

NPI assigned

Mar 19, 2018

Last updated

Mar 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1922502657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7342 S RICHMOND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7342 S RICHMOND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293015",
            "telephone_number": "773-671-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "SHAUNTAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "011271944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keri JH Robertson, D.O.
• Marissa Akiko Robertson
• Megan Robertson, DPT
• Pamela A Robertson, CNM
• Sabrina Denise Robertson
• Erin M Robey, PHARMD
• Julie Ann Robichaud, PT
• Robin & Rose Therapy Services
• Robin Fintel M.D.S.C.
• Robin L. Ferguson DDS PC (Dental Dream Team Sleep Solutions)

• Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.