Individual
JUDITH MARIE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C. R.N.C.S.
Contact information
Practice address
708 CHURCH ST, SUITE 221, EVANSTON, IL 60201-3875
(847) 501-1013
Mailing address
1500 CHICAGO AVE, EVANSTON, IL 60201-4428
(847) 424-1236
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180-002949
IL
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
0041-306058
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00434458
RAILROAD MEDICARE PIN
IL
Enumeration date
11/21/2006
Last updated
08/12/2010
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