Provider Demographics
NPI:1982044848
Name:ROBINSON, CAROLINE NYENKE (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:NYENKE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:N
Other - Last Name:NYENKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1935 S WABASH AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-2051
Mailing Address - Country:US
Mailing Address - Phone:312-487-1187
Mailing Address - Fax:
Practice Address - Street 1:1935 S WABASH AVE STE 1
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-2051
Practice Address - Country:US
Practice Address - Phone:312-487-1187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.063092207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology