Healthcare Provider Details

I. General information

NPI: 1770757866
Provider Name (Legal Business Name): ROBIN ANN OGDEN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2008
Last Update Date: 04/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

556 WINNETKA AVE
WINNETKA IL
60093-4028
US

IV. Provider business mailing address

556 WINNETKA AVE
WINNETKA IL
60093-4028
US

V. Phone/Fax

Practice location:
  • Phone: 847-933-6820
  • Fax:
Mailing address:
  • Phone: 847-933-6820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: