MEDICARE: ELIZABETH ROBINSON LCPC

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
1	101YP2500X	Professional Counselor	180010400	IL

General Provider Information

NPI Number	:	1487197240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ROBINSON LCPC

Provider Business Mailing Address
First Line	:	26640 LINDENGATE CIR
Second Line	:
City	:	PLAINFIELD
State	:	IL
Zip	:	60585-5829
Country	:	US
Telephone Number	:	815-210-5786
Fax Number	:

Provider Business Practice Location Address
First Line	:	1548 BOND ST
Second Line	:	STE 114
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-6508
Country	:	US
Telephone Number	:	630-717-9408
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2016
Last Update Date	:	02/10/2025

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