Healthcare Provider Details

I. General information

NPI: 1962574244
Provider Name (Legal Business Name): ROBINSON FAMILY CHIROPRACTIC LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 01/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1546 E ALGONQUIN RD
ALGONQUIN IL
60102-4519
US

IV. Provider business mailing address

PO BOX 369
ALGONQUIN IL
60102-0369
US

V. Phone/Fax

Practice location:
  • Phone: 847-458-8444
  • Fax:
Mailing address:
  • Phone: 847-936-4894
  • Fax: 847-770-4401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038-008670
License Number StateIL

VIII. Authorized Official

Name: DR. RICHARD TODD ROBINSON
Title or Position: OWNER
Credential: DC
Phone: 847-963-4894