Provider Demographics
NPI:1780220459
Name:ROBIN'S KEY SPEECH, LANGUAGE, AND LEARNING, PLLC
Entity Type:Organization
Organization Name:ROBIN'S KEY SPEECH, LANGUAGE, AND LEARNING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER-MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:D
Authorized Official - Last Name:GRESCH
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:847-868-2447
Mailing Address - Street 1:4905 OLD ORCHARD CTR STE 435
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-4738
Mailing Address - Country:US
Mailing Address - Phone:847-868-2447
Mailing Address - Fax:
Practice Address - Street 1:4905 OLD ORCHARD CTR STE 435
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-4738
Practice Address - Country:US
Practice Address - Phone:847-868-2447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-18
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech