Healthcare Provider Details

I. General information

NPI: 1013259647
Provider Name (Legal Business Name): MELISSA L ROBINSON D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA J LEE

II. Dates (important events)

Enumeration Date: 03/21/2013
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 PATRIOT BLVD
GLENVIEW IL
60026-8066
US

IV. Provider business mailing address

PO BOX 713260
CHICAGO IL
60677-1260
US

V. Phone/Fax

Practice location:
  • Phone: 847-535-7647
  • Fax: 847-998-9104
Mailing address:
  • Phone: 630-469-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number036145224
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberDR.0056966
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code2080I0007X
TaxonomyPediatric Clinical & Laboratory Immunology Physician
License Number036145224
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: