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NPI Code Detail

MEDICARE: MRS. ROBIN P EISENBERG LCSW

MEDICARE:  MRS. ROBIN P EISENBERG  LCSW
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
11041C0700XClinical Social Worker149004789IL

General Provider Information

NPI Number : 1336250869
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROBIN P EISENBERG LCSW
Provider Business Mailing Address
First Line : 2201 LAKESIDE DR
Second Line :
City : BANNOCKBURN
State : IL
Zip : 60015-1265
Country : US
Telephone Number : 847-502-5400
Fax Number :
Provider Business Practice Location Address
First Line : 2201 LAKESIDE DR
Second Line :
City : BANNOCKBURN
State : IL
Zip : 60015-1265
Country : US
Telephone Number : 847-502-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 03/14/2022

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Directions to “ MRS. ROBIN P EISENBERG LCSW” Practice Location

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