Individual
MR. RALPH ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC, MISA
Contact information
Practice address
1015 W LAWRENCE AVE, CHICAGO, IL 60640-5017
(773) 275-2586
(773) 275-3689
Mailing address
1015 W LAWRENCE AVE, CHICAGO, IL 60640-5017
(773) 275-2586
(773) 275-3689
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25380
IL
Other
Enumeration date
05/24/2017
Last updated
03/17/2018
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