Individual
DR. ROBERT C KISPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
30 N MICHIGAN AVE, SUITE 1514, CHICAGO, IL 60602-3402
(312) 629-1907
Mailing address
30 N MICHIGAN AVE, SUITE 1514, CHICAGO, IL 60602-3402
(312) 629-1907
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.000661
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166-000661
MARRIAGE AND FAMILY THERA
IL
01
—
35-000718A
MARRIAGE AND FAMILY THERA
IN
Enumeration date
03/14/2006
Last updated
01/14/2012
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