Provider Demographics
NPI:1639668460
Name:ROBINSON, PRESTON V (ND)
Entity type:Individual
Prefix:MR
First Name:PRESTON
Middle Name:V
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13459 MOZART ST
Mailing Address - Street 2:
Mailing Address - City:BLUE ISLAND
Mailing Address - State:IL
Mailing Address - Zip Code:60406-2829
Mailing Address - Country:US
Mailing Address - Phone:708-955-6065
Mailing Address - Fax:
Practice Address - Street 1:9029 W LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-9423
Practice Address - Country:US
Practice Address - Phone:708-381-0881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-07
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath