Provider Demographics
NPI:1194085589
Name:ROBINSON, JOLI ANNE (HIS)
Entity type:Individual
Prefix:
First Name:JOLI
Middle Name:ANNE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:JOLI
Other - Middle Name:ANNE
Other - Last Name:BLAQUIERE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10219 VINE ST
Mailing Address - Street 2:
Mailing Address - City:HUNTLEY
Mailing Address - State:IL
Mailing Address - Zip Code:60142-9531
Mailing Address - Country:US
Mailing Address - Phone:847-515-1200
Mailing Address - Fax:847-515-1201
Practice Address - Street 1:10219 VINE ST
Practice Address - Street 2:
Practice Address - City:HUNTLEY
Practice Address - State:IL
Practice Address - Zip Code:60142-9531
Practice Address - Country:US
Practice Address - Phone:847-515-1200
Practice Address - Fax:847-515-1201
Is Sole Proprietor?:No
Enumeration Date:2012-05-21
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2768237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist