Provider Demographics
NPI:1922239318
Name:TORCH, ROBIN CHESTER (MMSC, SLP)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:CHESTER
Last Name:TORCH
Suffix:
Gender:F
Credentials:MMSC, SLP
Other - Prefix:MS
Other - First Name:ROBIN
Other - Middle Name:
Other - Last Name:CHESTER-TORCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MMSC, SLP
Mailing Address - Street 1:3258 ECHO LN
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-5102
Mailing Address - Country:US
Mailing Address - Phone:847-509-8454
Mailing Address - Fax:
Practice Address - Street 1:3258 ECHO LN
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-5102
Practice Address - Country:US
Practice Address - Phone:847-509-8454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146002795235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist