Provider Demographics
NPI:1962905810
Name:ROBINS, ANNA C (MS CCC-SLP/L)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:C
Last Name:ROBINS
Suffix:
Gender:F
Credentials:MS CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 W MADISON ST
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-4838
Mailing Address - Country:US
Mailing Address - Phone:630-617-2385
Mailing Address - Fax:
Practice Address - Street 1:130 W MADISON ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-4838
Practice Address - Country:US
Practice Address - Phone:630-617-2385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-16
Last Update Date:2018-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.009862235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist