Organization
CHICAGO NEUROLOGY GROUP SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R ROBBINS CPA (CPA)
(847) 852-1428
Entity
Organization
Contact information
Practice address
6321 N AVONDALE, SUITE 106, CHICAGO, IL 60631
(773) 975-6773
Mailing address
6321 N AVONDALE, SUITE 106, CHICAGO, IL 60631
(773) 975-6773
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036060438
IL
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633088
BLUE CROSS
IL
05
—
6063101
—
IL
Enumeration date
06/04/2006
Last updated
07/06/2011
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