Provider Demographics
NPI:1679054647
Name:WEEKS, ROBIN JOSEPH (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ROBIN
Middle Name:JOSEPH
Last Name:WEEKS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5602 STONYBROOK DR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60586-6685
Mailing Address - Country:US
Mailing Address - Phone:630-962-4930
Mailing Address - Fax:
Practice Address - Street 1:5000 S. 5TH AVE
Practice Address - Street 2:BUILDING 1 ROOM D102A
Practice Address - City:HINES
Practice Address - State:IL
Practice Address - Zip Code:60141
Practice Address - Country:US
Practice Address - Phone:708-202-2796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0200471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty