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NPI Code Detail

MEDICARE: MS. DONNA LYNN RESSLER ROBINSON

MEDICARE: MS. DONNA LYNN RESSLER ROBINSON
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1053740597
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DONNA LYNN RESSLER ROBINSON
Provider Business Mailing Address
First Line : 3100 S CENTRAL AVE
Second Line :
City : CICERO
State : IL
Zip : 60804-3956
Country : US
Telephone Number : 708-863-3803
Fax Number : 708-222-0852
Provider Business Practice Location Address
First Line : 3100 S CENTRAL AVE
Second Line :
City : CICERO
State : IL
Zip : 60804-3956
Country : US
Telephone Number : 708-863-3803
Fax Number : 708-222-0852
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2013
Last Update Date : 11/05/2013

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