MEDICARE: JOSUF L ROBINSON DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	070-025448	IL

General Provider Information

NPI Number	:	1043819659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSUF L ROBINSON DPT

Provider Business Mailing Address
First Line	:	600 OAKMONT LN STE 600C
Second Line	:
City	:	WESTMONT
State	:	IL
Zip	:	60559-5548
Country	:	US
Telephone Number	:	630-575-1980
Fax Number	:	630-928-5080

Provider Business Practice Location Address
First Line	:	1511 E HYDE PARK BLVD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-3039
Country	:	US
Telephone Number	:	773-256-1475
Fax Number	:	773-256-1481

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2020
Last Update Date	:	10/23/2020

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