Individual
BRUCE ROBERTS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 POPLAR RD, HIGHLAND PARK, IL 60035-4346
(312) 404-4261
(708) 202-2085
Mailing address
275 POPLAR RD, HIGHLAND PARK, IL 60035-4346
(312) 404-4261
(708) 202-2085
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36057770
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36057770
—
IL
Enumeration date
03/02/2006
Last updated
07/08/2007
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