Provider Demographics
NPI:1255492757
Name:FOLEY, ROBIN ELIZABETH (SLP)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:ELIZABETH
Last Name:FOLEY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:520 SHERIDAN RD APT 1B
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-3195
Mailing Address - Country:US
Mailing Address - Phone:847-475-0971
Mailing Address - Fax:847-291-9641
Practice Address - Street 1:520 SHERIDAN RD APT 1B
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-3195
Practice Address - Country:US
Practice Address - Phone:847-475-0971
Practice Address - Fax:847-291-9641
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.004968235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILBLUE CROSS BLUE SHIEOtherINSURANCE BLUE CROSS BLUE SHIELD