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NPI Code Detail

MEDICARE: MR. GEORGE PAUL ROBINSON LCSW

MEDICARE: MR. GEORGE PAUL ROBINSON LCSW
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
11041C0700XClinical Social Worker149017749IL

General Provider Information

NPI Number : 1366961047
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GEORGE PAUL ROBINSON LCSW
Provider Business Mailing Address
First Line : 13 FAIRLANE DR
Second Line :
City : JOLIET
State : IL
Zip : 60435-6483
Country : US
Telephone Number : 815-730-8900
Fax Number : 815-936-8659
Provider Business Practice Location Address
First Line : 13 FAIRLANE DR
Second Line :
City : JOLIET
State : IL
Zip : 60435-6483
Country : US
Telephone Number : 815-730-8900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2017
Last Update Date : 04/22/2022

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