IndividualActive
Dedric Robinson
NPI 1679446058 · Prosthetic/Orthotic Supplier · Chicago, IL
Provider details
- NPI number
- 1679446058
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
Practice location
80 E Pershing Rd
Chicago, IL 60653-1531
Phone: (312) 218-1921
Approximate (ZIP-level) locationGet directions
Mailing address
1519 W 72nd Pl
Chicago, IL 60636-4025
Registry dates
- Enumerated
- 2025-09-24
- Last updated
- 2025-09-24
- Certified
- 2025-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.