Organization
ROBERT R. FELDMAN, PH.D. LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT FELDMAN PH.D. (PRESIDENT)
(847) 601-3192
Entity
Organization
Contact information
Practice address
444 W FRONTAGE RD, NORTHFIELD, IL 60093-3009
(847) 601-3192
Mailing address
3163 UNIVERSITY AVE, HIGHLAND PARK, IL 60035-1144
(847) 601-3192
(847) 412-0756
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001607224
BC/BS PROVIDER NUMBER
IL
Enumeration date
08/29/2007
Last updated
08/29/2007
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