Individual
DR. ROBERT THOMAS BAKER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
5412 N CLARK ST, #210, CHICAGO, IL 60640-1223
(847) 331-4600
Mailing address
5315 N CLARK ST, #319, CHICAGO, IL 60640-2290
(847) 331-4600
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006239
IL
103TC0700X
Clinical Psychologist
20041586A
IN
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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