Individual
DR. ROBERT BRUCE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1821 WALDEN OFFICE SQ, STE 400, SCHAUMBURG, IL 60173-4273
(847) 925-5115
(877) 700-8148
Mailing address
5846 N SAINT JOHNS CT, CHICAGO, IL 60646-6047
(847) 619-6499
(877) 700-8148
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-002757
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1673008
BC/BS OF ILLINOIS
IL
Enumeration date
06/27/2005
Last updated
11/18/2011
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