Individual
ROBIN S KLERONOMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1222
(630) 933-4847
(630) 933-3826
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1222
(630) 933-4847
(630) 933-3826
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.008458
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE PTAN (GROUP)
—
01
—
206147064
MEDICARE PTAN (INDIVIDUAL)
—
01
—
CA4748
MEDICARE RAILROAD (GROUP)
IL
01
—
P01013419
MEDICARE RAILROAD (INDIVIDUAL)
IL
Enumeration date
12/02/2010
Last updated
05/10/2017
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