Individual
DR. ROBERT R FELDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3163 UNIVERSITY AVE, HIGHLAND PARK, IL 60035-1144
(847) 601-3192
Mailing address
3163 UNIVERSITY AVE, HIGHLAND PARK, IL 60035-1144
(847) 601-3192
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-003643
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001607224
BLUE CROSS BLUE SHIELD
IL
01
—
071-003643
STATE LICENSE
IL
Enumeration date
01/15/2007
Last updated
04/12/2010
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