Doctor Name: | MR. STEVEN JOHN ROBB |
NPI Number: | 1720398092 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | C.A.D.C. |
License Number: | 28808 |
Business Practice Address: | 17 W. Grand Av. Fox Lake, IL - 60020 |
Business Phone Number: | 8475878400 |
Business Fax Number: | 8475878407 |
Mailing Address: | 17 W. Grand Av., FOX LAKE |
State: | IL |
Postal Code: | 60020 |
Phone Number: | 8475878400 |
Fax Number: | 8475878407 |
NPI Enumeration Date: | 10/20/2010 |
NPI Last Update Date: | 10/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 28808 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |