Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 016.005450 | IL |
NPI | 1023246980 |
---|---|
Provider Name | Dr. Richmond Charles Otis Robinson |
First Address | North Chicago, IL 60064-3037 |
Second Address | North Chicago, IL 60064-3037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2009 |
Last Update Date | 09/09/2019 |