Moore, Robin

Moore, Robin is an sole proprietor health care provider with primary practice located at 2700 E State St 1W, Burnham IL 60633-2032. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Moore, Robin can be contacted via phone (773) 387-7153.

Contact Information

Primary practice address
2700 E State St 1W Burnham IL 60633-2032
Phone: (773) 387-7153
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 18692 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149017272 Illinois

Profile Details

NPI number 1376097725
LBN Legal business name Moore, Robin
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2016
Last updated Aug 14th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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