1821309055 NPI number — MRS. MONIKA CLAIRE ROBINETT SLP

Table of content: MRS. MONIKA CLAIRE ROBINETT SLP (NPI 1821309055)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821309055 NPI number — MRS. MONIKA CLAIRE ROBINETT SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROBINETT
Provider First Name:
MONIKA
Provider Middle Name:
CLAIRE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MIHLBAUER
Provider Other First Name:
MONIKA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
SLP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1821309055
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/26/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1100 COMMERCE DR
Provider Second Line Business Mailing Address:
SUITE 114
Provider Business Mailing Address City Name:
RACINE
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53406-3700
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
262-886-3431
Provider Business Mailing Address Fax Number:
262-886-3954

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1000 W. GREEN STREET
Provider Second Line Business Practice Location Address:
FENTON HIGH SCHOOL
Provider Business Practice Location Address City Name:
BENSENVILLE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-860-6250
Provider Business Practice Location Address Fax Number:
262-886-3954
Provider Enumeration Date:
06/22/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  3301154 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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