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NPI Code Detail

MEDICARE: MARY A. ROBINSON

MEDICARE: MARY A. ROBINSON
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
1104100000XSocial Worker150.108165IL

General Provider Information

NPI Number : 1447119417
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY A. ROBINSON
Provider Business Mailing Address
First Line : 606 PRICE AVE
Second Line :
City : CALUMET CITY
State : IL
Zip : 60409-4112
Country : US
Telephone Number : 708-255-6414
Fax Number : 708-667-7849
Provider Business Practice Location Address
First Line : 8745 W HIGGINS RD STE 110
Second Line :
City : CHICAGO
State : IL
Zip : 60631-2753
Country : US
Telephone Number : 708-255-6414
Fax Number : 708-255-6414
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2026
Last Update Date : 01/16/2026

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