Individual
MISS MONIQUE SHAVON ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MR16981203P
Contact information
Practice address
16001 MARSHFIELD AVE, HARVEY, IL 60426-4920
(708) 333-6349
Mailing address
PO BOX 1368, 16001 S MARSHFIELD, HARVEY, IL 60426-7368
(708) 333-6349
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
MR16981203P
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MR16981203P
DT
IL
Enumeration date
07/02/2007
Last updated
07/08/2007
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