Provider Demographics
NPI:1821387614
Name:BRAUN, ROBYNNE M (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBYNNE
Middle Name:M
Last Name:BRAUN
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:ROBYNNE
Other - Middle Name:G
Other - Last Name:BRAUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:401 N MICHIGAN AVE SUITE 1200
Mailing Address - Street 2:INTEGRATED REHAB CONSULTANTS
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-4255
Mailing Address - Country:US
Mailing Address - Phone:312-635-0973
Mailing Address - Fax:
Practice Address - Street 1:1000 N GILMOR ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21217-2207
Practice Address - Country:US
Practice Address - Phone:410-669-2750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-01
Last Update Date:2015-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125060340207R00000X
WA60289294208100000X
MDD0080234208100000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD447862ZHDRMedicaid