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Roberta Dearth
NPI 1942531462 · on the registry since 2010
Practice
- Address
- 25652 W Colleen Ct
Channahon, IL 60410 - Phone
- (815) 791-1510
- Fax
- (815) 886-5983
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-01-22
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