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NPI Code Detail

MEDICARE: JANET ROBINSON MD

MEDICARE: JANET ROBINSON MD
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
1207QA0000XAdolescent Medicine (Family Medicine) Physician036061125IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CF3444OTHERILMEDICARE RAILROAD GROUP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356384390
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET ROBINSON MD
Provider Business Mailing Address
First Line : PO BOX 577
Second Line :
City : CARTERVILLE
State : IL
Zip : 62918-0577
Country : US
Telephone Number : 618-956-9510
Fax Number : 618-985-6860
Provider Business Practice Location Address
First Line : 101 S WALL ST
Second Line :
City : CARBONDALE
State : IL
Zip : 62901-3021
Country : US
Telephone Number : 618-529-2621
Fax Number : 618-549-1288
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 01/11/2010

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