Individual
DR. ROBERT EDWIN PORTER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1200 HARGER RD STE 600, OAK BROOK, IL 60523-1820
(901) 734-6460
Mailing address
1200 HARGER RD STE 600, OAK BROOK, IL 60523-1820
(901) 734-6460
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.011347
IL
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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