Provider Demographics
NPI:1164613865
Name:DAWN M ROBINSON CHIROPRACTIC SC
Entity Type:Organization
Organization Name:DAWN M ROBINSON CHIROPRACTIC SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:618-277-3575
Mailing Address - Street 1:115 LINCOLN PLACE CT
Mailing Address - Street 2:STE 103
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62221
Mailing Address - Country:US
Mailing Address - Phone:618-277-3575
Mailing Address - Fax:618-277-6679
Practice Address - Street 1:115 LINCOLN PLACE CT
Practice Address - Street 2:STE 103
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62221
Practice Address - Country:US
Practice Address - Phone:618-277-3575
Practice Address - Fax:618-277-6679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038008946111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL08227028OtherBCBS OF IL
IL4400091OtherUNITED HEALTH CARE
IL627842OtherACN
IL426689OtherHEALTHLINK
IL1156684OtherFIRST HEALTH MAIL HANDLER
IL1156684OtherFIRST HEALTH MAIL HANDLER