Provider Demographics
NPI:1124489794
Name:ROBKE, AMY MICHELE (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:MICHELE
Last Name:ROBKE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1000 CENTRAL ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1777
Mailing Address - Country:US
Mailing Address - Phone:847-570-2060
Mailing Address - Fax:847-733-5348
Practice Address - Street 1:1000 CENTRAL ST
Practice Address - Street 2:SUITE 101
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-1777
Practice Address - Country:US
Practice Address - Phone:847-570-2060
Practice Address - Fax:847-733-5348
Is Sole Proprietor?:No
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL146005445235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist