Individual
CHARIECE LASALLE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
503 N MAPLE ST, EFFINGHAM, IL 62401-2006
(217) 347-6127
(217) 347-1538
Mailing address
503 N MAPLE ST, EFFINGHAM, IL 62401-2006
(217) 347-6127
(217) 347-1538
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.089972
IL
208M00000X
Hospitalist Physician
Primary
036.089972
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000530518
ANTHEM, BCBS
IN
05
—
200879660
—
IN
01
—
M47140099
IN MEDICARE NUMBER
IN
Enumeration date
03/12/2007
Last updated
12/28/2016
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