Provider Demographics
NPI:1568519809
Name:ROBYN ALLEY-HAY, M.D. WOMAN TO WOMAN
Entity Type:Organization
Organization Name:ROBYN ALLEY-HAY, M.D. WOMAN TO WOMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEY-HAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:309-837-1206
Mailing Address - Street 1:PO BOX 357
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:IL
Mailing Address - Zip Code:61455-0357
Mailing Address - Country:US
Mailing Address - Phone:309-833-2868
Mailing Address - Fax:309-836-3779
Practice Address - Street 1:515 E GRANT ST
Practice Address - Street 2:SUITE 112
Practice Address - City:MACOMB
Practice Address - State:IL
Practice Address - Zip Code:61455-3368
Practice Address - Country:US
Practice Address - Phone:309-837-1206
Practice Address - Fax:309-837-1217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361145901207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0361145901Medicaid
IL109933OtherHEALTH ALLIANCE
E60383Medicare UPIN