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Forrest J Robinson

Family Medicine

Allopathic & Osteopathic Physicians

1100 Lake St Ste 230, Oak Park, IL 60301-1095

PECOS Enrollment

This provider is enrolled in PECOS as FORREST ROBINSON.

Based on the most recent information from CMS, provider Forrest J Robinson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1740283803
Provider Type
Individual
Full Name
Robinson, Forrest J
Title
Dr.
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
5/23/2005
Last Updated
5/4/2021

Contact Information

Practice Location

1100 Lake St Ste 230, Oak Park, IL 60301-1095

(331) 221-9001

(331) 221-2759

Mailing Location

4201 Winfield Rd Fl 4, Warrenville, IL 60555-4025

(331) 221-6377

(331) 221-2357

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 036-083482 Illinois

Provider Identifiers

ID	Description	Issuer
ID 036-083482	Description Medicaid	Issuer Unlisted Illinois

Forrest J Robinson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Kungl, Paul Anthony

Helms, Megan Elise

Lynch, Katherine D

Krishnan, Sivakami

Byrne, Allison

Whitfield, Stephen

Kelly, Mary Louise

River Forest Medical Center Incorporated

Drs Beamer Carlon Craigen Sc

Mccammon-Chase, Nathalie D