Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marissa Akiko Robertson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114556164

Marissa Akiko Robertson is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
Specialties on file
2

Practice location Address checks out

5841 S Maryland Ave # MC1052
Chicago, IL 60637-1443
Phone: (212) 263-5506
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 125.075988 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114556164
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 2, 2020
Last updated in NPPESJune 13, 2020
Certification dateJune 13, 2020

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