Provider Demographics
NPI:1215464250
Name:ROBINSON, LAMENZO CHRIS (CADC)
Entity type:Individual
Prefix:MR
First Name:LAMENZO
Middle Name:CHRIS
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 BRUMMEL ST APT 715
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-3519
Mailing Address - Country:US
Mailing Address - Phone:312-672-2608
Mailing Address - Fax:
Practice Address - Street 1:715 BRUMMEL ST APT 715
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-3519
Practice Address - Country:US
Practice Address - Phone:312-672-2608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL27769101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)