Healthcare Provider Details

I. General information

NPI: 1104743715
Provider Name (Legal Business Name): JULIA J ROBINSON LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 E PERSHING RD STE 307
CHICAGO IL
60653-1531
US

IV. Provider business mailing address

4552 S PRAIRIE AVE APT 3
CHICAGO IL
60653-5240
US

V. Phone/Fax

Practice location:
  • Phone: 708-303-8313
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number227.018810
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: