Provider Demographics
NPI:1003158650
Name:DILLON, ROBERT LOVUS II
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:LOVUS
Last Name:DILLON
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 N GALENA AVE
Mailing Address - Street 2:APT C
Mailing Address - City:DIXON
Mailing Address - State:IL
Mailing Address - Zip Code:61021-1657
Mailing Address - Country:US
Mailing Address - Phone:815-718-5746
Mailing Address - Fax:
Practice Address - Street 1:325 IL ROUTE 2
Practice Address - Street 2:
Practice Address - City:DIXON
Practice Address - State:IL
Practice Address - Zip Code:61021-9118
Practice Address - Country:US
Practice Address - Phone:815-284-9380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health