Individual
DR. ROBERT FELLOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1645 W JACKSON BLVD STE 400V, CHICAGO, IL 60612-3276
(312) 942-5375
Mailing address
1645 W JACKSON BLVD STE 400V, CHICAGO, IL 60612-3276
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071011024
IL
Other
Enumeration date
08/31/2023
Last updated
09/26/2023
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