| Doctor Name: | DR. RICHMOND CHARLES OTIS ROBINSON |
| NPI Number: | 1023246980 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 016.005450 |
| Business Practice Address: | 3333 Green Bay Rd North Chicago, IL - 600643037 |
| Business Phone Number: | 8476442301 |
| Business Fax Number: | 8477756587 |
| Mailing Address: | 3333 Green Bay Rd, NORTH CHICAGO |
| State: | IL |
| Postal Code: | 600643037 |
| Phone Number: | 8476442301 |
| Fax Number: | 8477756587 |
| NPI Enumeration Date: | 06/30/2009 |
| NPI Last Update Date: | 12/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 016.005450 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |