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Individual

DR. ROBERT IDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1749 S NAPERVILLE RD, SUITE 106, WHEATON, IL 60189-5892
(630) 260-8780
(630) 938-4697
Mailing address
1749 S NAPERVILLE RD, SUITE 106, WHEATON, IL 60189-5892

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071009564
IL
103TC0700X
Clinical Psychologist
071009564
IL

Other

Enumeration date
04/19/2017
Last updated
03/17/2018
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