MEDICARE: MRS. TERESA ANN ROBBINS MS

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	235Z00000X	Speech-Language Pathologist	146009941	IL

Other Identifiers

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

General Provider Information

NPI Number	:	1730417056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TERESA ANN ROBBINS MS

Provider Business Mailing Address
First Line	:	465 BARNABY DR
Second Line	:
City	:	OSWEGO
State	:	IL
Zip	:	60543-8678
Country	:	US
Telephone Number	:	630-803-2295
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 OSLER LOWR LEVEL
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60540-7429
Country	:	US
Telephone Number	:	630-527-5354
Fax Number	:

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

Provider Enumeration Date	:	11/24/2009
Last Update Date	:	11/24/2009

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Directions to “ MRS. TERESA ANN ROBBINS MS” Practice Location

Language	Start Address	Practice Location

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