Provider Demographics
NPI:1205495769
Name:MULVEY, ROBIN SUE (DPT)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:SUE
Last Name:MULVEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:SUE
Other - Last Name:FORSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2122 YORK RD STE 300
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1925
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:515-440-3832
Practice Address - Street 1:7 S 8TH ST STE C
Practice Address - Street 2:
Practice Address - City:CLEAR LAKE
Practice Address - State:IA
Practice Address - Zip Code:50428-1978
Practice Address - Country:US
Practice Address - Phone:641-548-8499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-10
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA096598225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist