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NPI Code Detail

MEDICARE: MRS. JILL ANN ROBINSON MA CCCSLP

MEDICARE: MRS. JILL ANN ROBINSON MA CCCSLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist146007252IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101635546OTHERILBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1255437661
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JILL ANN ROBINSON MA CCCSLP
Provider Business Mailing Address
First Line : 4450 N SACRAMENTO AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-3828
Country : US
Telephone Number : 773-220-0580
Fax Number : 866-807-7334
Provider Business Practice Location Address
First Line : 4450 N SACRAMENTO AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-3828
Country : US
Telephone Number : 773-220-0580
Fax Number : 866-807-7334
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 08/04/2010

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Directions to “ MRS. JILL ANN ROBINSON MA CCCSLP” Practice Location

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