Individual
DR. ROBERT J PORTSCHE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1735 N ASHLAND AVE, SUITE 201, CHICAGO, IL 60622-1435
(312) 519-8314
Mailing address
1735 N ASHLAND AVE, SUITE 201, CHICAGO, IL 60622-1435
(312) 519-8314
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008139
IL
Other
Enumeration date
07/13/2011
Last updated
02/11/2015
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