Provider Demographics
NPI:1376818435
Name:ROBYN, DARCIE JO (DO)
Entity Type:Individual
Prefix:
First Name:DARCIE
Middle Name:JO
Last Name:ROBYN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7111 W WHISPERING HILL LN
Mailing Address - Street 2:
Mailing Address - City:MONEE
Mailing Address - State:IL
Mailing Address - Zip Code:60449-9201
Mailing Address - Country:US
Mailing Address - Phone:815-566-7595
Mailing Address - Fax:
Practice Address - Street 1:7111 W WHISPERING HILL LN
Practice Address - Street 2:
Practice Address - City:MONEE
Practice Address - State:IL
Practice Address - Zip Code:60449-9201
Practice Address - Country:US
Practice Address - Phone:815-566-7595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-21
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.126290208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice