Provider Demographics
NPI:1194874982
Name:ROBINSON CHIROPRACTIC, LTD.
Entity type:Organization
Organization Name:ROBINSON CHIROPRACTIC, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:217-442-2273
Mailing Address - Street 1:7 BOILING SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61832-1102
Mailing Address - Country:US
Mailing Address - Phone:217-442-2273
Mailing Address - Fax:217-442-4001
Practice Address - Street 1:7 BOILING SPRINGS RD
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832-1102
Practice Address - Country:US
Practice Address - Phone:217-442-2273
Practice Address - Fax:217-442-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL09232015OtherBLUE CROSS PROVIDER #
ILK04464Medicare ID - Type Unspecified