Individual
DR. ROBERT BALLANTYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1300 W BELMONT AVE STE 400D, CHICAGO, IL 60657-3200
(313) 307-4772
Mailing address
1300 W BELMONT AVE STE 400D, CHICAGO, IL 60657-3200
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008958
IL
Other
Enumeration date
07/15/2016
Last updated
04/09/2026
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