Healthcare Provider Details

I. General information

NPI: 1528344587
Provider Name (Legal Business Name): MS. LAUREN JONES ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2011
Last Update Date: 06/21/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 S WOOD ST STE 100
CHICAGO IL
60612-7300
US

IV. Provider business mailing address

4000 N MERIDIAN ST APT 11-J
INDIANAPOLIS IN
46208-4034
US

V. Phone/Fax

Practice location:
  • Phone: 312-996-2933
  • Fax:
Mailing address:
  • Phone: 614-634-6555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number33006098A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number125.088521
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: