Individual
DR. ROBERT E HANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
645 N MICHIGAN AVE, SUITE 410, CHICAGO, IL 60611-2826
(312) 202-0755
(312) 202-0750
Mailing address
1000 W WASHINGTON BLVD, #336, CHICAGO, IL 60607-2137
(312) 202-0755
(312) 202-0750
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
IL
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1634309
BLUE CROSSPROVIDER NUMBER
IL
Enumeration date
11/10/2006
Last updated
09/11/2025
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