Robyn Lyn Adams
Individual provider Active NPI Specialist · Herrin, IL
NPI 1245216282 · NPPES record last updated Feb 16, 2010
Key facts
- NPI
- 1245216282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 070-012868 (IL)
- Practice address
- 201 S 14TH St
Herrin, IL 62948-3631 - Phone
- (618) 942-2171
- Fax
- (618) 351-4928
- NPI assigned
- Dec 21, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-012868 | IL | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 070-012868 | IL | Yes |
Addresses
Primary practice location
201 S 14TH St
Herrin, IL 62948-3631
Mailing address
201 S 14TH St
Herrin, IL 62948-3631
Phone (618) 942-2171
Other providers in Herrin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.