Provider Demographics
NPI:1033818356
Name:BROWN, ROBIN ANNE (RDN, LDN)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:ANNE
Last Name:BROWN
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:ANNE
Other - Last Name:LEVY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN, LDN
Mailing Address - Street 1:829 WAUKEGAN RD
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-3205
Mailing Address - Country:US
Mailing Address - Phone:847-757-4424
Mailing Address - Fax:
Practice Address - Street 1:829 WAUKEGAN RD
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-3205
Practice Address - Country:US
Practice Address - Phone:847-757-4424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL975481133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered