Individual
JANET ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 S WALL ST, CARBONDALE, IL 62901-3021
(618) 529-2621
(618) 549-1288
Mailing address
PO BOX 577, CARTERVILLE, IL 62918-0577
(618) 956-9510
(618) 985-6860
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
036061125
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061125
—
IL
05
—
370966854006
—
IL
01
—
CF3444
MEDICARE RAILROAD GROUP
IL
Enumeration date
06/14/2006
Last updated
01/11/2010
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