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Roberto Jesus Flores

Surgery

Allopathic & Osteopathic Physicians

600 S Paulina St, 527 Acfac, Chicago, IL 60612-3806

PECOS Enrollment

This provider is enrolled in PECOS as ROBERTO FLORES.

Based on the most recent information from CMS, provider Roberto Jesus Flores is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1104111616
Provider Type
Individual
Full Name
Flores, Roberto Jesus
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/13/2011
Last Updated
6/13/2011

Contact Information

Practice Location

600 S Paulina St, 527 Acfac, Chicago, IL 60612-3806

(312) 942-6510

Unlisted Fax

Mailing Location

605 W Madison St, 0609, Chicago, IL 60661-2410

(956) 251-5480

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208600000X Primary	Description Surgery Allopathic & Osteopathic Physicians	License 125059957 Illinois

Roberto Jesus Flores

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Hornsby, Cheryl Elise

Heiden, Katherine Bernadette

Patel, Hreem Neel

Conley, William

Chalman, Mckenna Jay

Trautmann, Stephanie Michele

Fernandes, Eduardo

Knight, Jimmie

Dowling, Colin

Alexieva, Julia