Roberta Dearth, is a 
Massage Therapist based in Channahon, Illinois. Roberta Dearth is licensed to practice in Illinois (license number 227008582) and her current practice location is 
25652 W Colleen Ct, Channahon, Illinois. She can be reached at her office (for appointments etc.) via phone at 
(815) 791-1510.
NPI number for Roberta Dearth is 1942531462 and her current mailing address is 25652 W Colleen Ct, Channahon, Illinois. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942531462.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Roberta Dearth | 
|---|
| Gender | Female | 
|---|
| Speciality | Massage Therapist | 
|---|
| Location | 25652 W Colleen Ct, Channahon, Illinois | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1942531462
- Provider Enumeration Date: 01/22/2010
- Last Update Date: 01/22/2010
 
		 
		 
Medical Identifiers
		Medical identifiers for Roberta Dearth such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1942531462 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 225700000X | Massage Therapist | 227008582 (Illinois) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Roberta Dearth is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Roberta Dearth, 25652 W Colleen Ct,
 Channahon, IL 60410-8638
 Ph: (815) 791-1510
 | Roberta Dearth, 25652 W Colleen Ct,
 Channahon, IL 60410-8638
 Ph: (815) 791-1510
 | 
		
		 
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