Doctor Name: | MRS. ROBIN KIMBERLY DITTMER |
NPI Number: | 1023382876 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 041.148505 |
Business Practice Address: | 24647 N Milwaukee Ave Vernon Hills, IL - 600611567 |
Business Phone Number: | 8473777842 |
Business Fax Number: | |
Mailing Address: | 24647 N Milwaukee Ave, VERNON HILLS |
State: | IL |
Postal Code: | 600611567 |
Phone Number: | 8473777842 |
Fax Number: | |
NPI Enumeration Date: | 02/25/2012 |
NPI Last Update Date: | 02/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WA0400X |
License Number: | 041.148505 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |