Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | DR.0056966 | CO |
NPI | 1013259647 |
---|---|
Provider Name | Melissa Lee Robinson |
First Address | Chicago, IL 60674-0001 |
Second Address | Glen Ellyn, IL 60137 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2013 |
Last Update Date | 12/02/2021 |