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Ethan Roberts
NPI 1336879055 · on the registry since 2022
Practice
- Address
- 1915 S Archer Ave
Chicago, IL 60616 - Phone
- (312) 674-9132
- Fax
- (312) 674-9392
- Organisation at this address
- Athletico Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- Occupational Therapist
225X00000X
- Also registered as
- Occupational Therapist
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois