| Doctor Name: | ELIZABETH JEANNE ROBERT |
| NPI Number: | 1013275007 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 209009513 |
| Business Practice Address: | 310 E Torrance Ave Pontiac, IL - 617642748 |
| Business Phone Number: | 8158446109 |
| Business Fax Number: | 8158443561 |
| Mailing Address: | 310 E Torrance Ave, P.o. Box 768 PONTIAC |
| State: | IL |
| Postal Code: | 617642748 |
| Phone Number: | 8158446109 |
| Fax Number: | 8158443561 |
| NPI Enumeration Date: | 04/26/2012 |
| NPI Last Update Date: | 12/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 209009513 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |