Organization
ROBERT R. FELDMAN, PH.D. LTD.
Active
Parent organization
ROBERT R. FELDMAN, PH.D. LTD.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROBERT R. FELDMAN, PH.D. LTD.
Authorized official
DR. ROBERT R. FELDMAN PH.D. (PRESIDENT)
(847) 601-3192
Entity
Organization
Contact information
Practice address
899 SKOKIE BLVD STE 430, NORTHBROOK, IL 60062-4024
(847) 601-3192
(847) 412-0756
Mailing address
3163 UNIVERSITY AVE, HIGHLAND PARK, IL 60035-1144
(847) 601-3192
(847) 412-0756
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001607224
BLUE CROSS PROVIDER
—
Enumeration date
03/20/2007
Last updated
08/28/2007
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