Provider Demographics
NPI:1255909073
Name:PIDU, ROBYN NICOLE
Entity type:Individual
Prefix:MISS
First Name:ROBYN
Middle Name:NICOLE
Last Name:PIDU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1507 TRENTON LN
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-8968
Mailing Address - Country:US
Mailing Address - Phone:630-372-0278
Mailing Address - Fax:
Practice Address - Street 1:1507 TRENTON LN
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:IL
Practice Address - Zip Code:60103-8968
Practice Address - Country:US
Practice Address - Phone:630-372-0278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health Information