Provider Demographics
NPI:1821416587
Name:ROBINSON, N'DJAMINA ANGELIKA (MD, MPH)
Entity Type:Individual
Prefix:
First Name:N'DJAMINA
Middle Name:ANGELIKA
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:N'DJAMINA
Other - Middle Name:ANGELIKA
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5775 E STATE ROUTE 113
Mailing Address - Street 2:
Mailing Address - City:COAL CITY
Mailing Address - State:IL
Mailing Address - Zip Code:60416-7111
Mailing Address - Country:US
Mailing Address - Phone:815-634-0100
Mailing Address - Fax:815-634-2900
Practice Address - Street 1:5775 E STATE ROUTE 113
Practice Address - Street 2:
Practice Address - City:COAL CITY
Practice Address - State:IL
Practice Address - Zip Code:60416-7111
Practice Address - Country:US
Practice Address - Phone:815-634-0100
Practice Address - Fax:815-634-2900
Is Sole Proprietor?:No
Enumeration Date:2014-03-31
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036142099207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036142099Medicaid