Individual
ROBERT JAMES HARTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
636 CHURCH ST, STE 617, EVANSTON, IL 60201-4586
(847) 866-7249
Mailing address
829 REBA PL, EVANSTON, IL 60202-2618
(847) 866-7249
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
071-003024
IL
103TR0400X
Rehabilitation Psychologist
071-003024
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1673046
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
08/15/2006
Last updated
08/07/2016
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