Provider Demographics
NPI:1124185277
Name:LINGRAS, ROBYN L (MS, CCC)
Entity Type:Individual
Prefix:MS
First Name:ROBYN
Middle Name:L
Last Name:LINGRAS
Suffix:
Gender:F
Credentials:MS, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3866 SEIGLE DR
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60124-3102
Mailing Address - Country:US
Mailing Address - Phone:847-695-2907
Mailing Address - Fax:847-695-2908
Practice Address - Street 1:3866 SEIGLE DR
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60124-3102
Practice Address - Country:US
Practice Address - Phone:847-695-2907
Practice Address - Fax:847-695-2908
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146-003521235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1124185277OtherNATIONAL PROVIDER INDENTIFIER