Provider Demographics
NPI:1487962221
Name:ROBINSON, DEBORAH ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:ANN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 S MORGAN ST
Mailing Address - Street 2:SUITE 325
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-2724
Mailing Address - Country:US
Mailing Address - Phone:312-242-3260
Mailing Address - Fax:312-242-3260
Practice Address - Street 1:111 S MORGAN ST
Practice Address - Street 2:SUITE 325
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-2724
Practice Address - Country:US
Practice Address - Phone:312-242-3260
Practice Address - Fax:312-242-3260
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019018356122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist