Healthcare Provider Details

I. General information

NPI: 1477387413
Provider Name (Legal Business Name): AKIAH ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2024
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5426 S STATE ST
CHICAGO IL
60609-6342
US

IV. Provider business mailing address

500 N MICHIGAN AVE STE 1400
CHICAGO IL
60611-3759
US

V. Phone/Fax

Practice location:
  • Phone: 708-568-1468
  • Fax:
Mailing address:
  • Phone: 312-761-4755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number149.041144
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: